Active NPI
Keith Smith Chiropractic Professional Corporation
- Chiropractor
- Auburn, CA
National Provider Identifier
1740462423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0174100
- Legal business name
- KEITH SMITH CHIROPRACTIC PROFESSIONAL CORPORATION
- Practice address
- 13136 Lincoln Way
Auburn, CA 95603-4114 - Phone
- (530) 885-8205
- Fax
- (530) 885-0303
- NPI assigned
- Dec 4, 2007
- 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
- Keith T Smith, D.C.
- Title
- President
- Phone
- (530) 885-8205
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 | DC0174100 | CA | Primary |
Addresses
Primary practice location
13136 Lincoln Way
Auburn, CA 95603-4114
Mailing address
13136 Lincoln Way
Auburn, CA 95603-4114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0174100 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Keith Smith Chiropractic Professional Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Auburn, CA
- NPI 1841313822
Locations
13136 Lincoln Way
Auburn, CA 95603
Phone (530) 885-8205
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Auburn, CA
- NPI 1487836169
-
- Chiropractor
- Auburn, CA
- NPI 1265154819
-
- Chiropractor
- Auburn, CA
- NPI 1417743451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651536000000",
"number": "1740462423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13136 LINCOLN WAY",
"city": "AUBURN",
"state": "CA",
"postal_code": "956034114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13136 LINCOLN WAY",
"city": "AUBURN",
"state": "CA",
"postal_code": "956034114",
"telephone_number": "530-885-8205",
"fax_number": "530-885-0303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEITH SMITH CHIROPRACTIC PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-04",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-885-8205",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC0174100",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DC0174100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.