Organization Active NPI

Delaware Injury Clinic, LLC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1679903918
Registry record updated Nov 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DELAWARE INJURY CLINIC, LLC
Practice address
20B Trolley SQ
Wilmington, DE 19806-3350
Phone
(302) 660-2114
Fax
(302) 288-7960
NPI assigned
Nov 23, 2013
Last updated
Nov 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2013

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

Authorized official

Name
Dr. Joshua Smith, DC
Title
Managing Partner
Phone
(561) 801-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

20B Trolley SQ
Wilmington, DE 19806-3350

Mailing address

PO Box 30611
West Palm Beach, FL 33420-0611
Phone (561) 801-2642

National Provider Directory

National Provider Directory

Locations

20B Trolley Sq
Wilmington, DE 19806
Phone (302) 658-5652

NPI Registry JSON

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

{
    "created_epoch": "1385164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385164800000",
    "number": "1679903918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30611",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334200611",
            "telephone_number": "561-801-2642",
            "fax_number": "561-244-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20B TROLLEY SQ",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198063350",
            "telephone_number": "302-660-2114",
            "fax_number": "302-288-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE INJURY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-23",
        "last_updated": "2013-11-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "561-801-2642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2013; 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.