Walton a Smith
Organization Active NPI Chiropractor · Saluda, SC
NPI 1831529072 · NPPES record last updated Nov 26, 2013
Key facts
- NPI
- 1831529072
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1334 (SC)
- Legal business name
- WALTON A SMITH
- Practice address
- 108 N Jennings St
Saluda, SC 29138-1430 - Phone
- (864) 445-3949
- NPI assigned
- Nov 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Walton Smith
- Title
- Owner
- Phone
- (803) 275-2225
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 1
Practitioners 1
-
Walton Ariail Smith, CHIROPRACTOR
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140408001582 | SC | Part B Supplier - Clinic/Group Practice | 0143452060 |
Receives reassigned benefits from 1 practitioner 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saluda, SC; Johnston, SC |
National Provider Directory
- Tax ID family
- Walton a Smith
Locations
101 Slide Hill Rd
Johnston, SC 29832
Phone (803) 275-2225
108 N Jennings St
Saluda, SC 29138
Phone (864) 445-3949
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1334 | SC | Yes |
Addresses
Primary practice location
108 N Jennings St
Saluda, SC 29138-1430
Mailing address
108 N Jennings St
Saluda, SC 29138-1430
Phone (864) 445-3949
Other providers in Saluda, SC
- David I Stevens
- Diane E Stribling
- Robin Taylor
- Lori L Threadgill
- Jessica Trotter
- Elease P. Webb I
- Scott V. Wellman
- Samuel Fair Wheeler
- Regan Wilkie
- Melody Williams
All providers in Saluda, SC · Chiropractor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.