John a Smith, DC, CCSP, PA

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1412 Issued in NC

Legal business name

JOHN A SMITH, DC, CCSP, PA

Practice address

2926 Capital Blvd
Raleigh, NC 27604-3235

Phone

(919) 878-8848

Fax

(919) 878-8863

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John A. Smith, DCNPI 1992799332

Title

Owner

Phone

(919) 878-8848

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• John Albert Smith, D.C., CCSP,PA

  • Sports Physician Chiropractor
  • Raleigh, NC
  • NPI 1992799332

  Sports Physician

  NPD (past) Authorized official
• Sean William Smith, D.C.

  • Chiropractor
  • Raleigh, NC
  • NPI 1427473990
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689779647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2926 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043235",
            "telephone_number": "919-878-8848",
            "fax_number": "919-878-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 CAPITAL BLVD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043235",
            "telephone_number": "919-878-8848",
            "fax_number": "919-878-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A SMITH, DC, CCSP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-878-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NC",
            "license": "1412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Jobe, M.D.
• Jodi Hamilton Foy, DDS, PA
• Joemax Healthcare Medical Supply Services LLC
• Joemax Healthcare Services LLC
• Joemax Healthcare Services LLC
• John a. Murrell, DDS, PLLC Dba Raleigh Prosthodontics
• John C. Woodall, D.D.S., P.a.
• John E Kempter DDS II PLLC
• John J Marks MD-Gynecology PLLC
• John J. Marks, MD-Gynecology PLLC

• All providers in Raleigh, NC
• Sports Physician Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.