Active NPI
Smith Family Chiropractic PLLC
- Chiropractor
- Kiln, MS
National Provider Identifier
1730254343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1085
- Legal business name
- SMITH FAMILY CHIROPRACTIC PLLC
- Practice address
- 16195 Highway 603
Kiln, MS 39556-8269 - Phone
- (228) 586-9343
- Fax
- (228) 586-9341
- NPI assigned
- Nov 21, 2006
- Last updated
- Sep 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brandon Reed Smith, D.C.
- Title
- Member-Owner
- Phone
- (228) 586-9343
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1085 | MS | Primary |
Addresses
Primary practice location
16195 Highway 603
Kiln, MS 39556-8269
Mailing address
PO Box 1447
Kiln, MS 39556-1447
Phone (228) 586-9343
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05088327 | Medicaid | MS | |
| 08432735 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16195 Highway 603
Kiln, MS 39556
Phone (228) 586-9343
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Kiln, MS
- NPI 1417022708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380499200000",
"number": "1730254343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1447",
"city": "KILN",
"state": "MS",
"postal_code": "395561447",
"telephone_number": "228-586-9343",
"fax_number": "228-586-9341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16195 HIGHWAY 603",
"city": "KILN",
"state": "MS",
"postal_code": "395568269",
"telephone_number": "228-586-9343",
"fax_number": "228-586-9341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH FAMILY CHIROPRACTIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2013-09-30",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "REED",
"authorized_official_title_or_position": "MEMBER-OWNER",
"authorized_official_telephone_number": "228-586-9343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05088327",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08432735",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kiln, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.