Smith Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

336 Issued in LA

Legal business name

SMITH CHIROPRACTIC CENTER, LLC

Practice address

104 E Vaughn Ave
Ruston, LA 71270-5953

Phone

(318) 255-2463

NPI assigned

Jun 18, 2008

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gerald Wayne Smith, D.C.NPI 1578608865

Title

Chiropractor/Owner

Phone

(318) 255-2463

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald Wayne Smith, D.C.

  • Chiropractor
  • Ruston, LA
  • NPI 1578608865
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1902067317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705953",
            "telephone_number": "318-255-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705953",
            "telephone_number": "318-255-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "318-255-2463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeralyn Sims
• Terri Suzonne Singleton, LPC
• Six Point Consulting LLC
• Six Point Laboratory LLC
• Sue Wona Skains
• Addie Smith, LPC-S
• Cassandra Dian Smith, MSW, GSW
• Chantia Smith
• George B Smith, M.D.
• Gerald Wayne Smith, D.C.

• Chiropractor in Ruston, LA
• Providers in Ruston, LA by specialty
• Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.