Individual provider Active NPI

Dean L Smith, D.C., PH.D.

  • Chiropractor
  • Eaton, OH
National Provider Identifier
1659425643
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2701 Issued in OH
Practice address
890 S Barron St
Eaton, OH 45320-9362
Phone
(937) 456-4555
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2701 OH Primary

Addresses

Primary practice location

890 S Barron St
Eaton, OH 45320-9362

Mailing address

890 S Barron St
Eaton, OH 45320-9362
Phone (937) 456-4555

Other identifiers 1

IdentifierTypeStateIssuer
000000333263OtherOHBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000025 OH Practitioner - Chiropractic 6406836410 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consilience IncGroup PAC ID 3678718632, 2 clinicians

Practice addresses (Care Compare)

890 S Barron St
Eaton, OH 45320-9362
Phone (937) 456-4555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2701OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Consilience Inc Chiropractor CurrentSince Jan 24, 2013 Accepting new patients
Consilience Inc PastSince Mar 21, 2021 Accepting new patients

Locations

890 S Barron St
Eaton, OH 45320
Phone (937) 275-2087

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366761600000",
    "number": "1659425643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 S BARRON ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209362",
            "telephone_number": "937-456-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 S BARRON ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453209362",
            "telephone_number": "937-456-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000333263",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.