Organization Active NPI

Smith Chiropractic and Wellness,LLC

  • Chiropractor
  • Amarillo, TX
National Provider Identifier
1740665876
Registry record updated Jul 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9846 Issued in TX
Legal business name
SMITH CHIROPRACTIC AND WELLNESS,LLC
Practice address
2901 S Georgia St
Amarillo, TX 79109-3436
Phone
(806) 342-3333
Fax
(806) 350-7792
NPI assigned
Jul 30, 2015
Last updated
Jul 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2015

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

Authorized official

Name
Dr. Rick Doyle Smith, D.C.NPI 1992788079
Title
Owner
Phone
(806) 342-3333

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 9846 TX Primary

Addresses

Primary practice location

2901 S Georgia St
Amarillo, TX 79109-3436

Mailing address

2901 S Georgia St
Amarillo, TX 79109-3436
Phone (806) 342-3333

Other identifiers 3

IdentifierTypeStateIssuer
169494501MedicaidTX
713992467OtherTXTEXAS PROVIDER ID
611188OtherTXMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731015563 TX Part B Supplier - Clinic/Group Practice 8426362690 Receives reassigned benefits from 1 practitioner
Practice locations: Amarillo, TX

National Provider Directory

National Provider Directory

Locations

2901 S Georgia St
Amarillo, TX 79109
Phone (806) 342-3333

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.

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1740665876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093436",
            "telephone_number": "806-342-3333",
            "fax_number": "806-350-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093436",
            "telephone_number": "806-342-3333",
            "fax_number": "806-350-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC AND WELLNESS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-342-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169494501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PROVIDER ID",
            "identifier": "713992467",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "611188",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.

Verify at the official NPI Registry.