Organization Active NPI

Ta Smith Chiropractic Inc

  • Health Service Clinic/Center
  • Arroyo Grande, CA
National Provider Identifier
1679966857
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
31081 Issued in CA
Legal business name
TA SMITH CHIROPRACTIC INC
Practice address
530 Traffic Way
Arroyo Grande, CA 93420-3357
Phone
(805) 489-8592
Fax
(805) 489-9509
NPI assigned
Mar 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Dr. Troy Smith, DCNPI 1497924526
Title
Ceo
Phone
(805) 489-8592

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 31081 CA Primary

Addresses

Primary practice location

530 Traffic Way
Arroyo Grande, CA 93420-3357

Mailing address

530 Traffic Way
Arroyo Grande, CA 93420-3357
Phone (805) 489-8592

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150511002050 CA Part B Supplier - Clinic/Group Practice 9537488630 Receives reassigned benefits from 1 practitioner
Practice locations: Pismo Beach, CA

National Provider Directory

National Provider Directory

Locations

1587 El Camino Real
Ste B
Arroyo Grande, CA 93420
Phone (805) 489-8592

530 Traffic Way
Arroyo Grande, CA 93420
Phone (805) 489-8592

2 James Way
Ste 108
Pismo Beach, CA 93449
Phone (805) 295-0187

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1679966857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 TRAFFIC WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203357",
            "telephone_number": "805-489-8592",
            "fax_number": "805-489-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 TRAFFIC WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203357",
            "telephone_number": "805-489-8592",
            "fax_number": "805-489-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TA SMITH CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-489-8592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "31081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.