Active NPI
Venus Crystal Smith, D.C
- Chiropractor
- Bandon, OR
National Provider Identifier
1699770487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3028
- Practice address
- 780 2Ndstreet SE Ste 6
Bandon, OR 97411-1894 - Phone
- (541) 347-5169
- NPI assigned
- Jun 17, 2005
- Last updated
- May 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3028 | OR | Primary |
Addresses
Primary practice location
780 2Ndstreet SE Ste 6
Bandon, OR 97411-1894
Mailing address
PO Box 1894
Bandon, OR 97411-1894
Phone (541) 347-5169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Bandon, OR
- NPI 1801088398
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1699770487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1894",
"city": "BANDON",
"state": "OR",
"postal_code": "974111894",
"telephone_number": "541-347-5169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 2NDSTREET SE STE 6",
"city": "BANDON",
"state": "OR",
"postal_code": "974111894",
"telephone_number": "541-347-5169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "VENUS",
"middle_name": "CRYSTAL",
"credential": "D.C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-17",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "3028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bandon, OR
- Ariel Jui-Yu Shih, PHARMD, RPH
- Shindler's Drugstore Inc. (Shindler's Health Mart Pharmacy)
- Jessica Ann Shrock, FNP--C
- Zakary G Shrock, LPC
- Paul Edward Smith, PT, DPT
- Southern Coos Health District (Southern Coos Hospital & Health Center)
- Southern Coos Health District
- Southern Coos Health District (SCHHC Retail Pharmacy)
- Southwest Physical Therapy
- Mara Maria Spang, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.