DT Smith Healthgroup PLLC
Organization Active NPI Chiropractor · Fircrest, WA
NPI 1831641489 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1831641489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- DT SMITH HEALTHGROUP PLLC
- Practice address
- 6314 19TH St W Ste 11
Fircrest, WA 98466-6223 - Phone
- (253) 267-8188
- NPI assigned
- Oct 31, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Dennis E Smith, D.C.
- Title
- Chiropractor
- Phone
- (253) 267-8188
Practitioners 6
-
Dennis E Smith, DC
-
Audrey Inez Bellerud, LMP
-
Payton Rain Matherly, LMT
-
Patrick J McVeigh, D.C.
-
Nevin Michael Hair, L.M.P
-
Edward L West, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170622001412 | WA | Part B Supplier - Clinic/Group Practice | 7012285646 |
Receives reassigned benefits from 1 practitioner Practice locations: Fircrest, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
6314 19TH St W Ste 11
Fircrest, WA 98466-6223
Mailing address
6314 19TH St W Ste 11
Fircrest, WA 98466-6223
Phone (253) 267-8188
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285012500 | Medicaid | WA |
Other names
- Family Chiropractic Center P.S.
Other providers in Fircrest, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. 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.