Kyle William Smith, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1725 Issued in LA

Practice address

436 Old Spanish TRL
Slidell, LA 70458-3904

Phone

(985) 641-4898

Fax

(985) 641-8060

NPI assigned

Jan 13, 2015

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 LA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spine and Sport of Slidell, LLC

  • Chiropractor
  • Slidell, LA
  • NPI 1457100729
  Medicare reassignment NPD Authorized official
• E and G Enterprises Inc

  • Customized Equipment (DME)
  • Slidell, LA
  • NPI 1639475353
  NPD (past)

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1811386949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 OLD SPANISH TRL",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583904",
            "telephone_number": "985-641-4898",
            "fax_number": "985-641-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 OLD SPANISH TRL",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583904",
            "telephone_number": "985-641-4898",
            "fax_number": "985-641-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KYLE",
        "middle_name": "WILLIAM",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-13",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Michael Smith, CRNA
• Emily Everson Smith, RN
• Hayden Smith
• Kimberly Smith
• Kristin Nuccio Smith, D.C.
• Latonya Smith
• Laura Eugenia Smith, DDS
• Melissa Welch Smith, M.D.
• Morchell Smith, LCSW
• Rachele Smith

• Chiropractor in Slidell, LA
• Providers in Slidell, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.