Tyrone P. Smith Sr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2002019357 Issued in MO

Practice address

2609 Cantrell Rd
Harrisonville, MO 64701-4002

Phone

(816) 380-3860

Fax

(816) 380-3862

NPI assigned

Feb 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Comprehensive Injury Treatment Services PLLC

  • General Practice Physician
  • Temple, TX
  • NPI 1811325954
  Medicare reassignment NPD
• Imedtx LLC

  • Chiropractor
  • Georgetown, TX
  • NPI 1952129595
  Medicare reassignment NPD
• Smith Chiropractic Pain Center PC

  • Clinic/Center
  • Harrisonville, MO
  • NPI 1386837722

  Chiropractor

  NPD Authorized official

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669516233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 CANTRELL RD",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014002",
            "telephone_number": "816-380-3860",
            "fax_number": "816-380-3862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 CANTRELL RD",
            "city": "HARRISONVILLE",
            "state": "MO",
            "postal_code": "647014002",
            "telephone_number": "816-380-3860",
            "fax_number": "816-380-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYRONE",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002019357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "31744016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shera Ann Sims, D.D.S
• Smith Chiropractic Pain Center PC
• Jacob Robert Smith
• Katheryn M Smith, APRN, PMHNP, FNP
• Mallory Dianne Smith, LMSW
• Snider & Associates Optometry, PC
• Larry D Snider, O.D.
• Kristy Spriggs, LCSW
• SRZ Op Abc LLC
• SRZ Op Meadow View LLC

• Chiropractor in Harrisonville, MO
• Providers in Harrisonville, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.