Individual provider Active NPI

Alfred Owen Smith, D.C.

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1699744375
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0005038 Issued in FL
Practice address
2477 Stickney Point Rd
Suite 202a
Sarasota, FL 34231-4076
Phone
(941) 923-2567
Fax
(941) 925-4334
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0005038 FL Primary

Addresses

Primary practice location

2477 Stickney Point Rd
Suite 202a
Sarasota, FL 34231-4076

Mailing address

2477 Stickney Point Rd
Suite 202a
Sarasota, FL 34231-4076
Phone (941) 923-2567

Other identifiers 2

IdentifierTypeStateIssuer
22176OtherFLBLUE CROSS
381575700MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040501000100 FL Practitioner - Chiropractic 5597753459 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Chiropractic IncGroup PAC ID 1850535998, 3 clinicians
Charles E Liott D C P aGroup PAC ID 5597743021, 2 clinicians

Practice addresses (Care Compare)

2206 Jo an Dr
Suite 1
Sarasota, FL 34231-4080
Phone (941) 487-0266

2477 Stickney Point Rd
202A
Sarasota, FL 34231-6850
Phone (941) 923-2567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0005038FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Charles E Liott D C P a Chiropractor CurrentSince Jan 1, 2008 Accepting new patients
Sarasota Chiropractic & Wellness Center Chiropractor CurrentSince Jun 8, 2025 Accepting new patients

Locations

2477 Stickney Point Rd
Ste 202A
Sarasota, FL 34231
Phone (813) 923-2567

2477 Stickney Point Rd
Ste 202
Sarasota, FL 34231

Organizations & group practices 3

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1699744375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 STICKNEY POINT RD",
            "address_2": "SUITE 202A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314076",
            "telephone_number": "941-923-2567",
            "fax_number": "941-925-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 STICKNEY POINT RD",
            "address_2": "SUITE 202A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314076",
            "telephone_number": "941-923-2567",
            "fax_number": "941-925-4334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALFRED",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0005038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "22176",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381575700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.