Individual provider Active NPI

Graeme P Smith, DC

  • Chiropractor
  • Bremerton, WA
National Provider Identifier
1841374071
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034396 Issued in WA
Practice address
1100 Wheaton Way
Suite B
Bremerton, WA 98310
Phone
(360) 373-8899
Fax
(360) 373-8891
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034396 WA Primary

Addresses

Primary practice location

1100 Wheaton Way
Suite B
Bremerton, WA 98310

Mailing address

1487 NE Dawn Rd
Bremerton, WA 98311-3122
Phone (360) 373-8899

Other identifiers 4

IdentifierTypeStateIssuer
P00244901OtherWARAILROAD MEDICARE
0188951OtherWADEPT OF LABOR & INDUSTRY
606889300OtherWAFEDERAL LABOR & INDUSTRY
05061096701OtherWAKITSAP PHYSICIANS SERVICE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041214000446 WA Practitioner - Chiropractic 8921065764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smith Chiropractic IncGroup PAC ID 5092852335, 2 clinicians

Practice addresses (Care Compare)

1487 NE Dawn Rd
Bremerton, WA 98311-3122
Phone (360) 373-8899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Chiropractic Inc Chiropractor CurrentSince Oct 12, 2009 Accepting new patients

Locations

1100 Wheaton Way
Ste B
Bremerton, WA 98310
Phone (360) 373-8899

1487 NE Dawn Rd
Bremerton, WA 98311
Phone (360) 373-8899

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1841374071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1487 NE DAWN RD",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113122",
            "telephone_number": "360-373-8899",
            "fax_number": "360-373-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WHEATON WAY",
            "address_2": "SUITE B",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-373-8899",
            "fax_number": "360-373-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "GRAEME",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00244901",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRY",
            "identifier": "0188951",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL LABOR & INDUSTRY",
            "identifier": "606889300",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KITSAP PHYSICIANS SERVICE",
            "identifier": "05061096701",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.