Clifford Cornelius Smith II, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3718 Issued in KY

Practice address

389 Glenn Ave
West Liberty, KY 41472-1119

Phone

(606) 743-3617

Fax

(606) 743-9790

NPI assigned

Jul 28, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801800271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414720088",
            "telephone_number": "606-743-3617",
            "fax_number": "606-743-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 GLENN AVE",
            "city": "WEST LIBERTY",
            "state": "KY",
            "postal_code": "414721119",
            "telephone_number": "606-743-3617",
            "fax_number": "606-743-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CLIFFORD",
        "middle_name": "CORNELIUS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "3718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Rohr
• Jimalee Yvonne Ross, L.C.S.W.
• Corey Ruffing
• Valerie Shepherd
• Kayla Sizemore
• Jeanie Marie Snow, APRN
• Frankie Spencer, CADC
• Merrietta Standafer
• Jerrigail Tackett
• Lora Tinsley

• Chiropractor in West Liberty, KY
• Providers in West Liberty, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.