Active NPI
Douglas Smith, DC
- Chiropractor
- Port Orchard, WA
National Provider Identifier
1720195761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH3166
- Practice address
- 1501 Pottery Ave
Port Orchard, WA 98366-3712 - Phone
- (360) 876-6865
- Fax
- (360) 876-5507
- NPI assigned
- Aug 24, 2006
- Last updated
- Jun 24, 2014
- Sex
- Male
- 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 | CH3166 | WA | Primary |
Addresses
Primary practice location
1501 Pottery Ave
Port Orchard, WA 98366-3712
Mailing address
1501 Pottery Ave
Port Orchard, WA 98366-3712
Phone (360) 876-6865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH3166 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spinal Health Care Center | Chiropractor | Current | Accepting new patients |
| Action Chiropratic | Chiropractor | Past | Accepting new patients |
Locations
1501 Pottery Ave
Port Orchard, WA 98366
Phone (253) 223-3538
11871 Silverdale Way NW
Ste 109
Silverdale, WA 98383
Phone (360) 710-7491
Organizations & group practices 2
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
- Port Orchard, WA
- NPI 1457549016
-
- Chiropractor
- Port Orchard, WA
- NPI 1003005653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1720195761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 POTTERY AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663712",
"telephone_number": "360-876-6865",
"fax_number": "360-876-5507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 POTTERY AVE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663712",
"telephone_number": "360-876-6865",
"fax_number": "360-876-5507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH3166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.