Active NPI
Samuel R Smith, DC
- Chiropractor
- Middletown, PA
National Provider Identifier
1649226309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC1776L
- Practice address
- 279 West Main Street
#8
Middletown, PA 17057-1222 - Phone
- (717) 944-0004
- Fax
- (717) 944-7710
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 | DC1776L | PA | Primary |
Addresses
Primary practice location
279 West Main Street
#8
Middletown, PA 17057-1222
Mailing address
279 West Main Street
#8
Middletown, PA 17057-1222
Phone (717) 944-0004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5704220604120 | Other | PA | AETNA PPO - AETNA HMO |
| 02441400 | Other | PA | CAPITAL BLUE CROSS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC1776L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649226309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 WEST MAIN STREET",
"address_2": "#8",
"city": "MIDDLETOWN",
"state": "PA",
"postal_code": "170571222",
"telephone_number": "717-944-0004",
"fax_number": "717-944-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 WEST MAIN STREET",
"address_2": "#8",
"city": "MIDDLETOWN",
"state": "PA",
"postal_code": "170571222",
"telephone_number": "717-944-0004",
"fax_number": "717-944-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "SAMUEL",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC1776L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO - AETNA HMO",
"identifier": "5704220604120",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02441400",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Middletown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.