Mark S Smith DC PC

Primary specialty

Neurology ChiropractorTaxonomy code 111NN0400X

License

0104000196 Issued in VA

Legal business name

MARK S SMITH DC PC

Practice address

1807 Huguenot Rd Ste 105
Midlothian, VA 23113-5604

Phone

(804) 897-9194

Fax

(804) 423-1599

NPI assigned

Apr 7, 2007

Last updated

Oct 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark S. Smith, D.C.NPI 1508953860

Title

President

Phone

(804) 897-9194

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark S Smith, DC PC

  • Neurology Chiropractor
  • Midlothian, VA
  • NPI 1508953860
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1689797532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13549 MIDLOTHIAN TURNPIKE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231134261",
            "telephone_number": "804-897-9194",
            "fax_number": "804-794-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 HUGUENOT RD STE 105",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135604",
            "telephone_number": "804-897-9194",
            "fax_number": "804-423-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S SMITH DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-07",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-897-9194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "VA",
            "license": "0104000196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Neurology Chiropractor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Neurology Chiropractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.