Dennis T Smith, DC DACNB

Individual provider Active NPI Chiropractor · Cavalier, ND

NPI 1760580294 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1760580294
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
725 (ND)
Practice address
206 Division Ave
Cavalier, ND 58220
Phone
(701) 265-3380
Fax
(701) 265-3371
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
27643CAMDMarriage & Family Therapist
725NDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Chiropractic Rehab & Wellness Center PC Chiropractor Past
since Apr 28, 2004
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 725 ND Yes

Addresses

Primary practice location

206 Division Ave
Cavalier, ND 58220

Mailing address

PO Box 54
Cavalier, ND 58220
Phone (701) 265-8841

Other providers in Cavalier, ND

All providers in Cavalier, ND · Chiropractor in North Dakota

Sources for this page

Verify at the official NPI Registry.