Individual provider Active NPI

Riley Joel Smith

  • Chiropractor
  • Little Rock, AR
National Provider Identifier
1881423721
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12414 Issued in AR
Practice address
16000 Rushmore Ave Apt 8204
Little Rock, AR 72223-7007
Phone
(870) 397-4648
NPI assigned
Jul 30, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12414 AR Primary

Addresses

Primary practice location

16000 Rushmore Ave Apt 8204
Little Rock, AR 72223-7007

Mailing address

15400 Chenal Pkwy Ste 120
Little Rock, AR 72211-2297
Phone (501) 400-7700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307001171 AR Practitioner - Chiropractic 6204357171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restoration Health PLLCGroup PAC ID 9739485087, 5 clinicians

Practice addresses (Care Compare)

15400 Chenal Pkwy
Suite 170
Little Rock, AR 72211-2016
Phone (501) 400-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Health PLLC Chiropractor CurrentSince Dec 29, 2024 Accepting new patients
Restoration Health of Conway Chiropractor PastSince Dec 29, 2024 Accepting new patients

Locations

15400 Chenal Pkwy
Ste 120
Little Rock, AR 72211
Phone (501) 400-7700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1881423721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15400 CHENAL PKWY STE 120",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722112297",
            "telephone_number": "501-400-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 RUSHMORE AVE APT 8204",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722237007",
            "telephone_number": "870-397-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RILEY",
        "middle_name": "JOEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "12414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.