Organization Active NPI

Ka Smith Chiropractic PLLC

  • Chiropractor
  • Victoria, TX
National Provider Identifier
1750730438
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12266 Issued in TX
Legal business name
KA SMITH CHIROPRACTIC PLLC
Practice address
3708 N Navarro St
Suite C
Victoria, TX 77901-2417
Phone
(361) 570-7354
Fax
(361) 570-7356
NPI assigned
Jun 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Authorized official

Name
Dr. Kevin A. Smith, DCNPI 1578989182
Title
Owner
Phone
(281) 635-2788

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 12266 TX Primary

Addresses

Primary practice location

3708 N Navarro St
Suite C
Victoria, TX 77901-2417

Mailing address

3708 N Navarro St
Suite C
Victoria, TX 77901-2417
Phone (361) 570-7354

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160707000080 TX Part B Supplier - Clinic/Group Practice 0446542740 Receives reassigned benefits from 1 practitioner
Practice locations: Victoria, TX

National Provider Directory

National Provider Directory

Locations

3708 N Navarro St
Ste C
Victoria, TX 77901
Phone (361) 570-7354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1750730438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 N NAVARRO ST",
            "address_2": "SUITE C",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012417",
            "telephone_number": "361-570-7354",
            "fax_number": "361-570-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 N NAVARRO ST",
            "address_2": "SUITE C",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012417",
            "telephone_number": "361-570-7354",
            "fax_number": "361-570-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KA SMITH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-635-2788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.