Individual provider Active NPI

Steven Louis Smith, D.C.

  • Chiropractor
  • Titusville, FL
National Provider Identifier
1821058983
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH8721 Issued in FL
Practice address
2215 Garden St
Titusville, FL 32796-2583
Phone
(321) 268-2210
Fax
(321) 325-2100
NPI assigned
Mar 24, 2006
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH8721 FL Primary

Addresses

Primary practice location

2215 Garden St
Titusville, FL 32796-2583

Mailing address

2215 Garden St
Titusville, FL 32796-2583
Phone (321) 268-2210

Other identifiers 1

IdentifierTypeStateIssuer
381761000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611000167 FL Practitioner - Chiropractic 5395728646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Active Spine Center, LLCGroup PAC ID 0244213593, 3 clinicians

Practice addresses (Care Compare)

2215 Garden St
Titusville, FL 32796-2543
Phone (321) 268-2210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH8721FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Spine Center, LLC CurrentSince Jan 30, 2004 Accepting new patients
Titusville Total Healthcare LLC Past Accepting new patients
Douglas D Weber DC PA Chiropractor PastSince Sep 19, 2017 Accepting new patients

Locations

2425 N Courtenay Pkwy
Ste 106
Merritt Island, FL 32953
Phone (321) 961-4768

2215 Garden St
Titusville, FL 32796
Phone (321) 268-2210

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1821058983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962583",
            "telephone_number": "321-268-2210",
            "fax_number": "321-325-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 GARDEN ST",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962583",
            "telephone_number": "321-268-2210",
            "fax_number": "321-325-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEVEN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH8721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381761000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Titusville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.