Active NPI
Chris a Smith DC Chiropractic PC
- Chiropractor
- Cedar Rapids, IA
National Provider Identifier
1831268879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 06854
- Legal business name
- CHRIS A SMITH DC CHIROPRACTIC PC
- Practice address
- 576 Boyson Road NE
Suite 106
Cedar Rapids, IA 52402-7206 - Phone
- (319) 378-1515
- Fax
- (319) 378-9292
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chris Allan Smith, D.C.
- Title
- President Owner
- Phone
- (319) 378-1515
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 06854 | IA | Primary |
Addresses
Primary practice location
576 Boyson Road NE
Suite 106
Cedar Rapids, IA 52402-7206
Mailing address
576 Boyson Road NE
Suite 106
Cedar Rapids, IA 52402-7206
Phone (319) 378-1515
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0494765 | Medicaid | IA | |
| 0494773 | Medicaid | IA |
Other names 1
- Smith Chiropractic and Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061205000000 | IA | Part B Supplier - Clinic/Group Practice | 2860497344 |
Receives reassigned benefits from 1 practitioner Practice locations: Cedar Rapids, IA |
National Provider Directory
National Provider DirectoryLocations
576 Boyson Rd NE
Ste 106
Cedar Rapids, IA 52402
Phone (319) 378-1515
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Cedar Rapids, IA
- NPI 1508897141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1831268879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "576 BOYSON ROAD NE",
"address_2": "SUITE 106",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524027206",
"telephone_number": "319-378-1515",
"fax_number": "319-378-9292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 BOYSON ROAD NE",
"address_2": "SUITE 106",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524027206",
"telephone_number": "319-378-1515",
"fax_number": "319-378-9292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRIS A SMITH DC CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "ALLAN",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "319-378-1515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "IA",
"license": "06854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0494765",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0494773",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Smith Chiropractic and Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.