Active NPI
Nolan Alexander Smith, DC
- Chiropractor
- Fort Worth, TX
National Provider Identifier
1629635677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14106
- Practice address
- 4830 South Fwy
Fort Worth, TX 76115-3901 - Phone
- (817) 926-0012
- Fax
- (817) 927-0533
- NPI assigned
- May 24, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14106 | TX | Primary |
Addresses
Primary practice location
4830 South Fwy
Fort Worth, TX 76115-3901
Mailing address
4830 South Fwy
Fort Worth, TX 76115-3901
Phone (817) 926-0012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14106 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabilitation Physicians Network Inc | Current | Accepting new patients | |
| Rehab Physician'S Network | Chiropractor | Past | Accepting new patients |
Locations
214 W Colorado Blvd
Dallas, TX 75208
Phone (214) 941-4550
1001 12th Ave
Ste 146
Fort Worth, TX 76104
Phone (817) 377-4011
1102 Solon Place Way
Ste 2
Waxahachie, TX 75165
Phone (972) 875-7488
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Practitioner
- Dallas, TX
- NPI 1508095761
-
- Chiropractor
- Dallas, TX
- NPI 1396943171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1629635677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4830 SOUTH FWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761153901",
"telephone_number": "817-926-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4830 SOUTH FWY",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761153901",
"telephone_number": "817-926-0012",
"fax_number": "817-927-0533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "NOLAN",
"middle_name": "ALEXANDER",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.