Todd A Smith, DC

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

1643 Issued in NC

Practice address

325 South Main Street
Sparta, NC 28675

Phone

(336) 372-1666

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Holistic Health and Wellness PA

  • Primary Care Clinic/Center
  • Sparta, NC
  • NPI 1093152761
  Medicare reassignment NPD Authorized official
• Center for Family Wellness, PA

  • Internist Chiropractor
  • Sparta, NC
  • NPI 1376590141
  Authorized official Same address or phone

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1821078338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1827",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286751827",
            "telephone_number": "336-372-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SOUTH MAIN STREET",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "28675",
            "telephone_number": "336-372-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "NC",
            "license": "1643",
            "primary": true
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "VA",
            "license": "0104556218",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890882C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dale Marie Sandusky, MA, CCC-SLP
• Share Ministry Inc (SHARE Clinic)
• Julia Marian Simmons, PHD, LPC
• Dan C Smith Jr., CRNA
• Sara Caitlyn Smith
• Sparta Emergency Physicians LLC
• Robert Mark Sturdivant, LPC
• Chloe Erin Sullivan
• Sunbridge Regency - North Carolina, LLC (Alleghany Care and Rehabilitation Center)
• Jon Wesley Thompson, MD

• Internist Chiropractor in Sparta, NC
• Providers in Sparta, NC by specialty
• Internist Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.