Individual provider Active NPI

Walter Edward Smith, DC

  • Chiropractor
  • Rowlett, TX
National Provider Identifier
1639666357
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14069 Issued in TX
Practice address
4802 Lakeview Pkwy Ste 202
Rowlett, TX 75088-4041
Phone
(404) 398-5827
NPI assigned
Apr 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1833 LA
Chiropractor 111N00000X 14069 TX Primary

Addresses

Primary practice location

4802 Lakeview Pkwy Ste 202
Rowlett, TX 75088-4041

Mailing address

4802 Lakeview Pkwy Ste 202
Rowlett, TX 75088-4041
Phone (404) 398-5827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14069TXMDAddiction (Substance Use Disorder) Counselor
1833LAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Carr Chiro Consulting LLC Chiropractor CurrentSince Oct 6, 2024 Accepting new patients

Locations

4802 Lakeview Pkwy
Ste 202
Rowlett, TX 75088
Phone (404) 398-5827

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1639666357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 LAKEVIEW PKWY STE 202",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884041",
            "telephone_number": "404-398-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 LAKEVIEW PKWY STE 202",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750884041",
            "telephone_number": "404-398-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WALTER",
        "middle_name": "EDWARD",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-18",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1833",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.