Active NPI
Brian J Smith, DC
Doing business as chiropracticmassagemedford
- Chiropractor
- Medford, OR
National Provider Identifier
1912399171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5526
- Legal business name
- BRIAN J SMITH, DC
- Doing business as
- chiropracticmassagemedford
- Practice address
- 329 S Ivy St
Medford, OR 97501-3174 - Phone
- (541) 897-4055
- NPI assigned
- Feb 25, 2015
- Last updated
- Feb 25, 2015
- Organization subpart
- Yes
- Parent organization
- BRIAN J SMITH, DC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Jared Smith, DC
- Title
- Dr
- Phone
- (541) 897-4055
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5526 | OR | Primary |
Addresses
Primary practice location
329 S Ivy St
Medford, OR 97501-3174
Mailing address
329 S Ivy St
Medford, OR 97501-3174
Phone (541) 897-4055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500667962 | Medicaid | OR |
Other names 1
- chiropracticmassagemedford
National Provider Directory
National Provider Directory- Part of
- Brian J Smith DC
Practitioners & affiliated clinicians
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.
-
- Chiropractor
- Medford, OR
- NPI 1225106651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424822400000",
"number": "1912399171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 S IVY ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013174",
"telephone_number": "541-897-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 S IVY ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013174",
"telephone_number": "541-897-4055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN J SMITH, DC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRIAN J SMITH, DC",
"enumeration_date": "2015-02-25",
"last_updated": "2015-02-25",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "JARED",
"authorized_official_title_or_position": "DR",
"authorized_official_telephone_number": "541-897-4055",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500667962",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "chiropracticmassagemedford",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.