Warren Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO09712 Issued in GA

Practice address

110 Evans Mill Dr
Suite 301
Dallas, GA 30157-1622

Phone

(678) 977-8703

NPI assigned

Jun 3, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Precision Chiropractic Corporation

  • Chiropractor
  • Dallas, GA
  • NPI 1669820379
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1780032490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR",
            "address_2": "SUITE 301",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571622",
            "telephone_number": "678-977-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR",
            "address_2": "SUITE 301",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571622",
            "telephone_number": "678-977-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO09712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslee Shelly Smith, SLP
• Mary Smith, OT
• Patricia Ann Smith
• Preston Langdon Smith, O.D.
• Torri Elaine Smith, BCBA, MA
• Lauren Smithson
• Julia Sobolenko, RPH
• Jeanna Sommer
• Sauve M Sonkey
• Victoria Sowell

• Chiropractor in Dallas, GA
• Providers in Dallas, GA by specialty
• Chiropractor in Georgia

• 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.