Mark W Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1608 Issued in AL

Practice address

2601 12TH St
Tuscaloosa, AL 35401-2807

Phone

(205) 758-7158

Fax

(205) 758-7166

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skelton Chiropractic Center, IncGroup PAC ID 6103812508, 4 clinicians

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.

• Skelton Chiropractic Center, Inc

  • Chiropractor
  • Tuscaloosa, AL
  • NPI 1285726273
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260316800000",
    "number": "1831281724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 12TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012807",
            "telephone_number": "205-758-7158",
            "fax_number": "205-758-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 12TH ST",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012807",
            "telephone_number": "205-758-7158",
            "fax_number": "205-758-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2009-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1608",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Edward Smith Jr., LGSW
• Jeanmarie Smith, MS,CCC-SLP
• Katie Smith
• Laura Elizabeth Smith, PHARMD
• Marilyn Dyer Smith
• Mary Catherine Smith
• Mary D Smith, MSW, LICSW
• Melissa Lyn Smith
• Micah Danille Smith
• Nachasity Marie Smith, CRNP

• Chiropractor in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.