Individual provider Active NPI

Fred L Smith, DC

  • Chiropractor
  • Carmi, IL
National Provider Identifier
1780736215
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038003396 Issued in IL
Practice address
908 Oak St
Carmi, IL 62821-1340
Phone
(618) 382-4834
Fax
(618) 382-7129
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038003396 IL Primary

Addresses

Primary practice location

908 Oak St
Carmi, IL 62821-1340

Mailing address

908 Oak St
Carmi, IL 62821-1340
Phone (618) 382-4834

Other identifiers 1

IdentifierTypeStateIssuer
038003396MedicaidIL

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038003396ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Chiropractic LLC Chiropractor CurrentSince Jan 1, 2019 Accepting new patients

Locations

908 Oak St
Carmi, IL 62821
Phone (618) 382-4834

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1780736215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 OAK ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211340",
            "telephone_number": "618-382-4834",
            "fax_number": "618-382-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 OAK ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211340",
            "telephone_number": "618-382-4834",
            "fax_number": "618-382-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FRED",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038003396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038003396",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmi, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.