Organization Active NPI

Gary F Smith DC

  • Neurology Chiropractor
  • Toledo, OH
National Provider Identifier
1639434632
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
1647 Issued in OH
Legal business name
GARY F SMITH DC
Practice address
4210 W Sylvania Ave Ste 102
Toledo, OH 43623-4501
Phone
(419) 474-6500
Fax
(419) 724-5463
NPI assigned
Jul 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gary Smith, DC
Title
Chiropractor
Phone
(419) 474-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X 1647 OH Primary

Addresses

Primary practice location

4210 W Sylvania Ave Ste 102
Toledo, OH 43623-4501

Mailing address

4210 W Sylvania Ave Ste 102
Toledo, OH 43623-4501
Phone (419) 474-6500

Other identifiers 1

IdentifierTypeStateIssuer
0911526MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1639434632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 W SYLVANIA AVE STE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234501",
            "telephone_number": "419-474-6500",
            "fax_number": "419-724-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 W SYLVANIA AVE STE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234501",
            "telephone_number": "419-474-6500",
            "fax_number": "419-724-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY F SMITH DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "419-474-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "OH",
            "license": "1647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911526",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.