Individual provider Active NPI

Kelly Brett Smith, D.C.

  • Chiropractor
  • Sierra Vista, AZ
National Provider Identifier
1912399494
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8451 Issued in AZ
Practice address
2123 S Highway 92
Sierra Vista, AZ 85635-5269
Phone
(520) 459-5199
NPI assigned
Feb 20, 2015
Last updated
Feb 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8451 AZ Primary

Addresses

Primary practice location

2123 S Highway 92
Sierra Vista, AZ 85635-5269

Mailing address

2123 S Highway 92
Sierra Vista, AZ 85635-5269
Phone (520) 459-5199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001001597 AZ Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 8729396353 Practice locations: Sierra Vista, AZ

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2123 S Hwy 92
Sierra Vista, AZ 85635
Phone (520) 459-5199

2123 S Hwy 92
Sierra Vista, AZ 85635-5269

Merit-based Incentive Payment System (MIPS)

Final score
24.47 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Brett Smith Chiropractic PLLC Chiropractor CurrentSince Sep 20, 2015 Accepting new patients

Locations

2123 S Highway 92
Sierra Vista, AZ 85635
Phone (520) 459-5199

Organizations & group practices 1

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": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1912399494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 S HIGHWAY 92",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355269",
            "telephone_number": "520-459-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 S HIGHWAY 92",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355269",
            "telephone_number": "520-459-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELLY",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.