Active NPI
Wayne S Smith, DC
- Chiropractor
- Pasco, WA
National Provider Identifier
1679643530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002790
- Practice address
- 1211 N 20TH Ave
Pasco, WA 99301 - Phone
- (509) 547-1759
- NPI assigned
- Nov 8, 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 | CH00002790 | WA | Primary |
Addresses
Primary practice location
1211 N 20TH Ave
Pasco, WA 99301
Mailing address
1211 N 20TH Ave
Pasco, WA 99301
Phone (509) 547-1759
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020519 | Medicaid | WA | |
| 0005162299 | Other | WA | AETNA |
| 146894146896 | Other | WA | PREMERA BLUE CROSS |
| 911678952F001 | Other | WA | PREMERA BLUE CROSS FEP |
| 36281 | Other | WA | LABOR & INDUSTRIES |
| 653633 | Other | WA | ACN |
| 93621468940001 | Other | WA | PREMERA BC NASCO |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679643530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 N 20TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "99301",
"telephone_number": "509-547-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 N 20TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "99301",
"telephone_number": "509-547-1759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WAYNE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2020519",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005162299",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA BLUE CROSS",
"identifier": "146894146896",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA BLUE CROSS FEP",
"identifier": "911678952F001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "36281",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "653633",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMERA BC NASCO",
"identifier": "93621468940001",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.