Organization Active NPI

Smith Family Chiropractic P.C.

  • Chiropractor
  • Elk City, OK
National Provider Identifier
1881725067
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SMITH FAMILY CHIROPRACTIC P.C.
Practice address
2103 S Main St Ste N
Elk City, OK 73644-9167
Phone
(580) 243-0700
Fax
(580) 243-0771
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Dr. Rebecca Smith, DCNPI 1073618195
Title
Chiropractor
Phone
(580) 243-0700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2103 S Main St Ste N
Elk City, OK 73644-9167

Mailing address

PO Box 40
Elk City, OK 73648-0040
Phone (580) 243-0700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020000623 OK Part B Supplier - Clinic/Group Practice 3476579228 Receives reassigned benefits from 1 practitioner
Practice locations: Elk City, OK

National Provider Directory

National Provider Directory

Locations

2103 S Main St
Ste N
Elk City, OK 73644
Phone (580) 243-0700

419 W 3rd St
Elk City, OK 73644
Phone (580) 243-0700

Practitioners & affiliated clinicians

Practitioners 4

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1881725067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736480040",
            "telephone_number": "580-243-0700",
            "fax_number": "580-243-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 S MAIN ST STE N",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736449167",
            "telephone_number": "580-243-0700",
            "fax_number": "580-243-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH FAMILY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "580-243-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.