Individual provider Active NPI

Christopher Robert Smith, D.C.

  • Chiropractor
  • Plainfield, IL
National Provider Identifier
1871849752
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038012218 Issued in IL
Practice address
15104 S James St
Plainfield, IL 60544-2170
Phone
(815) 436-7260
Fax
(815) 436-1335
NPI assigned
Jul 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038012218 IL Primary

Addresses

Primary practice location

15104 S James St
Plainfield, IL 60544-2170

Mailing address

15104 S James St
Plainfield, IL 60544-2170
Phone (815) 436-7260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120918000846 IL Practitioner - Chiropractic 0446408322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15104 S James St
Plainfield, IL 60544-2170
Phone (815) 436-7260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012218ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Plainfield Chiropractic, LLC Chiropractor CurrentSince Jul 29, 2015 Accepting new patients
Dr Joseph Conklin Jr Chiropractor PastSince Jul 29, 2015 Accepting new patients

Locations

15104 S James St
Plainfield, IL 60544
Phone (815) 436-7260

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": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1871849752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15104 S JAMES ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442170",
            "telephone_number": "815-436-7260",
            "fax_number": "815-436-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15104 S JAMES ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442170",
            "telephone_number": "815-436-7260",
            "fax_number": "815-436-1335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.