Venus Crystal Smith, D.C
Individual provider Active NPI Chiropractor · Bandon, OR
NPI 1699770487 · NPPES record last updated May 2, 2012
Key facts
- NPI
- 1699770487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3028 (OR)
- Practice address
- 780 2Ndstreet SE Ste 6
Bandon, OR 97411-1894 - Phone
- (541) 347-5169
- NPI assigned
- Jun 17, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3028 | OR | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3028 | OR | Yes |
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
Other providers in Bandon, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.