Smart Health & Wellness Center, LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

038011302 Issued in IL

Legal business name

SMART HEALTH & WELLNESS CENTER, LLC

Practice address

409 S Prospect Rd
Suite D
Bloomington, IL 61704-4581

Phone

(309) 661-8325

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Gregory W Smart, D.C.

Title

Owner

Phone

(309) 661-8325

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1699006940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S PROSPECT RD",
            "address_2": "SUITE D",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044581",
            "telephone_number": "309-661-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S PROSPECT RD",
            "address_2": "SUITE D",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044581",
            "telephone_number": "309-661-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART HEALTH & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "SMART",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-661-8325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "IL",
            "license": "038011302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barbarette Smith, LPC
• Elaine Smith, R.N.
• Glen B Smith, M.D.
• Jacob Smith, PA-C, ATC
• Jamie Smith, LCSW

• Nutrition Chiropractor in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Nutrition Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; 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.