Organization Active NPI

Chris a Smith DC Chiropractic PC

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1831268879
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06854 Issued in IA
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

Updated by the provider on Aug 22, 2020

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.NPI 1508897141
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0494765MedicaidIA
0494773MedicaidIA

Other names 1

  • Smith Chiropractic and Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.