Organization Active NPI

Tom Smith D C

  • Chiropractor
  • Corinth, MS
National Provider Identifier
1790969079
Registry record updated Dec 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
155 Issued in MS
Legal business name
TOM SMITH D C
Practice address
3334 N Polk St
Corinth, MS 38834-7223
Phone
(662) 286-9950
NPI assigned
Dec 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2007

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

Authorized official

Name
Dr. Tom Smith, D C
Title
Chiropractor
Phone
(662) 286-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 155 MS Primary

Addresses

Primary practice location

3334 N Polk St
Corinth, MS 38834-7223

Mailing address

3334 N Polk St
Corinth, MS 38834-7223
Phone (662) 286-9950

Other identifiers 1

IdentifierTypeStateIssuer
01107090MedicaidMS

National Provider Directory

National Provider Directory

Locations

3334 N Polk St
Corinth, MS 38834
Phone (662) 286-9950

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": "1198281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198281600000",
    "number": "1790969079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 N POLK ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347223",
            "telephone_number": "662-286-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 N POLK ST",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388347223",
            "telephone_number": "662-286-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM SMITH D C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-22",
        "last_updated": "2007-12-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "662-286-9950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01107090",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2007; 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.