Shawn Culbert Smith, D.C.
Individual provider Active NPI Chiropractor · Middleburgh, NY
NPI 1689734832 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1689734832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 8025 (NY)
- Practice address
- 305 Main St
Suite 1
Middleburgh, NY 12122 - Phone
- (518) 827-5585
- Fax
- (518) 827-7360
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
288 Main St
Suite 271
Middleburgh, NY 12122-6519
Phone (518) 827-5585
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120130000535 | NY | Practitioner - Chiropractic | 2264526771 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8025 | NY | MD | Chiropractor |
| 008025 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shawn C Smith & Kimberly S Smith Partners | Chiropractor | Current |
Accepting new patients |
| Middleburgh Chiropractic PC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 8025 | NY | Yes |
Addresses
Primary practice location
305 Main St
Suite 1
Middleburgh, NY 12122
Mailing address
PO Box 271
Middleburgh, NY 12122-0271
Phone (518) 827-5585
Other providers in Middleburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.