Organization Active NPI

S.M.a.R.T. Spine Institute

  • Sports Physician Chiropractor
  • Arcadia, CA
National Provider Identifier
1740659895
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
Legal business name
S.M.A.R.T. SPINE INSTITUTE
Practice address
131 E Huntington Dr
Arcadia, CA 91006-3212
Phone
(626) 445-0326
Fax
(626) 445-5155
NPI assigned
Sep 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Devon Anderson
Title
Office Manager
Phone
(626) 445-0326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X Primary

Addresses

Primary practice location

131 E Huntington Dr
Arcadia, CA 91006-3212

Mailing address

131 E Huntington Dr
Arcadia, CA 91006-3212
Phone (626) 445-0326

Other identifiers 1

IdentifierTypeStateIssuer
1104857846OtherCANPI, OTHER ADDRESS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1740659895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063212",
            "telephone_number": "626-445-0326",
            "fax_number": "626-445-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E HUNTINGTON DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063212",
            "telephone_number": "626-445-0326",
            "fax_number": "626-445-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.M.A.R.T. SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DEVON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-445-0326"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI, OTHER ADDRESS",
            "identifier": "1104857846",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.