Individual provider Active NPI

Carlyle Smart, D.C.

  • Chiropractor
  • Newport, RI
National Provider Identifier
1740605054
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DCP00636 Issued in RI
Practice address
372 Broadway
Newport, RI 02840-1777
Phone
(401) 847-2248
Fax
(401) 847-5915
NPI assigned
Feb 24, 2014
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR009268 GA
Chiropractor 111N00000X DCP00636 RI Primary

Addresses

Primary practice location

372 Broadway
Newport, RI 02840-1777

Mailing address

372 Broadway
Newport, RI 02840-1777
Phone (401) 847-2248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150123002012 RI Practitioner - Chiropractic 0749504611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

372 Broadway
Newport, RI 02840-1777
Phone (401) 847-2248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR009268GAMDChiropractor
DCP00636RIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Body Chiropractic LLC Chiropractor CurrentSince Aug 15, 2014 Accepting new patients
William a. Watkinson II Chiropractor PastSince Nov 2, 2014 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1740605054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401777",
            "telephone_number": "401-847-2248",
            "fax_number": "401-847-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 BROADWAY",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028401777",
            "telephone_number": "401-847-2248",
            "fax_number": "401-847-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "CARLYLE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR009268",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "RI",
            "license": "DCP00636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.