Organization Active NPI

Dr. Grant K. Smith DC Chiropractic Centers, LLC

  • Sports Physician Chiropractor
  • Daphne, AL
National Provider Identifier
1871750331
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1140 Issued in AL
Legal business name
DR. GRANT K. SMITH DC CHIROPRACTIC CENTERS, LLC
Practice address
715 Belrose Ave
Daphne, AL 36526-4514
Phone
(251) 621-2224
Fax
(251) 621-2225
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Ms. Kimberly Reed Smith
Title
Office Manager
Phone
(251) 621-2224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 1140 AL Primary

Addresses

Primary practice location

715 Belrose Ave
Daphne, AL 36526-4514

Mailing address

715 Belrose Ave
Daphne, AL 36526-4514
Phone (251) 621-2224

Other names 1

  • Back In Motion Chiropractic & Acupuncture Other name

National Provider Directory

National Provider Directory

Locations

27955 US Highway 98
Ste P
Daphne, AL 36526
Phone (251) 621-2224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1871750331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BELROSE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264514",
            "telephone_number": "251-621-2224",
            "fax_number": "251-621-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BELROSE AVE",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264514",
            "telephone_number": "251-621-2224",
            "fax_number": "251-621-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GRANT K. SMITH DC CHIROPRACTIC CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "251-621-2224",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "AL",
            "license": "1140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back In Motion Chiropractic & Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.