Active NPI
William E Smith, D.C.
- Chiropractor
- Anaheim, CA
National Provider Identifier
1700936176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC11817
- Practice address
- 504 S Brookhurst St
Anaheim, CA 92804-2416 - Phone
- (714) 491-7334
- Fax
- (714) 491-7716
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | DC11817 | CA | Primary |
Addresses
Primary practice location
504 S Brookhurst St
Anaheim, CA 92804-2416
Mailing address
504 S Brookhurst St
Anaheim, CA 92804-2416
Phone (714) 491-7334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-3754643 | Other | CA | FEDERAL TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC11817 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332979200000",
"number": "1700936176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 S BROOKHURST ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042416",
"telephone_number": "714-491-7334",
"fax_number": "714-491-7716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 S BROOKHURST ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928042416",
"telephone_number": "714-491-7334",
"fax_number": "714-491-7716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WILLIAM",
"middle_name": "E",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2012-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC11817",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "95-3754643",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.