Individual provider Active NPI

Alexa M. Smith, DC

  • Chiropractor
  • Huntsville, AL
National Provider Identifier
1699438283
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2744 Issued in AL
Practice address
975 Airport Rd SW Ste H
Huntsville, AL 35802-1395
Phone
(256) 203-4275
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2021042441 MO
Chiropractor 111N00000X 2744 AL Primary

Addresses

Primary practice location

975 Airport Rd SW Ste H
Huntsville, AL 35802-1395

Mailing address

975 Airport Rd SW Ste H
Huntsville, AL 35802-1395
Phone (256) 203-4275

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221014000943 AL Practitioner - Chiropractic 5395133136 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021042441MOMDChiropractor
2744ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebelution Chiropractic LLC Chiropractor CurrentSince Sep 1, 2022 Accepting new patients

Locations

975 Airport Rd SW
Ste A
Huntsville, AL 35802
Phone (408) 805-0570

975 Airport Rd SW
Ste H
Huntsville, AL 35802
Phone (256) 203-4275

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1699438283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 AIRPORT RD SW STE H",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021395",
            "telephone_number": "256-203-4275",
            "fax_number": "256-715-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 AIRPORT RD SW STE H",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021395",
            "telephone_number": "256-203-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALEXA",
        "middle_name": "M.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021042441",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.