Individual provider Active NPI

Elias Daniel Smith, D.C.

  • Chiropractor
  • Lexington, NC
National Provider Identifier
1699450239
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5737 Issued in NC
Practice address
1203 Cotton Grove Rd
Lexington, NC 27292-5264
Phone
(336) 697-6398
NPI assigned
Jun 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2023015495 MO
Chiropractor 111N00000X 5737 NC Primary

Addresses

Primary practice location

1203 Cotton Grove Rd
Lexington, NC 27292-5264

Mailing address

217 Ridge Mill Cir
Lexington, NC 27295-1776
Phone (913) 963-2104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250106002769 NC Practitioner - Chiropractic 6305374216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Chiropractic Wellness Group IncGroup PAC ID 9335449594, 2 clinicians

Practice addresses (Care Compare)

408 2ND Ave NE
Hickory, NC 28601-5167
Phone (828) 322-4787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023015495MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Chiropractic Wellness Group, Inc. Chiropractor CurrentSince Nov 4, 2024 Accepting new patients

Locations

408 2nd Ave NE
Hickory, NC 28601
Phone (828) 322-4787

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1699450239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 RIDGE MILL CIR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272951776",
            "telephone_number": "913-963-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 COTTON GROVE RD",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272925264",
            "telephone_number": "336-697-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ELIAS",
        "middle_name": "DANIEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2023015495",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.