Individual provider Active NPI

Chad Smith, D.C., M.S.

  • Chiropractor
  • Fenton, MO
National Provider Identifier
1861967184
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2018032990 Issued in MO
Practice address
1747 Smizer Station Rd Ste 5
Fenton, MO 63026-2784
Phone
(636) 825-6555
Fax
(636) 825-6546
NPI assigned
Oct 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2018032990 MO Primary

Addresses

Primary practice location

1747 Smizer Station Rd Ste 5
Fenton, MO 63026-2784

Mailing address

9841 Barlow LN
Saint Louis, MO 63123-6201
Phone (618) 302-0281

Other practice location 1

4600 S Lindbergh Blvd Ste 3
Saint Louis, MO 63127-1831
Phone (314) 729-0027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190205002618 MO Practitioner - Chiropractic 0143568899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Family Wellness Center LLCGroup PAC ID 0547692071, 5 clinicians

Practice addresses (Care Compare)

1747 Smizer Station Rd
Suite 4
Fenton, MO 63026-2784
Phone (636) 825-6555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Hills Family Chiropractic LLC Chiropractor CurrentSince Nov 4, 2024 Accepting new patients

Locations

4600 S Lindbergh Blvd
Ste 3
Saint Louis, MO 63127
Phone (314) 729-0027

Organizations & group practices 2

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": "1539388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1861967184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 BARLOW LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236201",
            "telephone_number": "618-302-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 SMIZER STATION RD STE 5",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262784",
            "telephone_number": "636-825-6555",
            "fax_number": "636-825-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 S Lindbergh Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271831",
            "country_code": "US",
            "telephone_number": "314-729-0027",
            "fax_number": "314-729-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHAD",
        "credential": "D.C., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-13",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2018032990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.