Evan Jubae Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2025017977 Issued in MO

Practice address

34 Professional Pkwy
Troy, MO 63379-2822

Phone

(636) 356-5557

NPI assigned

May 21, 2025

Last updated

May 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Group practices

Winchester Chiropractic, P.C.Group PAC ID 9638147432, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Winchester Chiropractic, P.C.

  dba Winchester-Hilgefort Spine & Joint Center

  • Chiropractor
  • Moscow Mills, MO
  • NPI 1568661080
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1700678950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CANTY RAYBORN RD",
            "city": "SUMRALL",
            "state": "MS",
            "postal_code": "394824733",
            "telephone_number": "575-706-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PROFESSIONAL PKWY",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792822",
            "telephone_number": "636-356-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EVAN",
        "middle_name": "JUBAE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2025017977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherine Ionie Shearer-Blackman
• Holly Shiels, MA, LPC
• Justin Short, DMD
• Amber Simpson, D.C.
• Scott Edward Smalley, O.D.
• Lisa Anne Smith, NP-C
• Daniella Rae Spencer, LPC
• SSM Cardinal Glennon Children's Hospital (SSM Health Cardinal Glennon Pediatrics)
• SSM Medical Group Inc. (SSM Health Medical Group)
• SSM St. Charles Clinic Medical Group, Inc. (SSM Health Medical Group)

• Chiropractor in Troy, MO
• Providers in Troy, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.