Keith Michael Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4097 Issued in AZ

Practice address

4450 S Rural Rd
Suite 132
Tempe, AZ 85282-7037

Phone

(480) 598-6367

NPI assigned

Apr 21, 2006

Last updated

Nov 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Adio Ahwatukee LLC

  dba Body Shape solutions

  • Chiropractor
  • Tempe, AZ
  • NPI 1861817645
  Authorized official Same address or phone
• Mountainside Wellness Center Inc

  • Chiropractor
  • Phoenix, AZ
  • NPI 1053583450
  NPD
• Morley Chiropractic PC

  dba Ahwatukee Life Center

  • Chiropractor
  • Phoenix, AZ
  • NPI 1508087818
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1912963836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 S RURAL RD",
            "address_2": "SUITE 132",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827037",
            "telephone_number": "480-598-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 S RURAL RD",
            "address_2": "SUITE 132",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827037",
            "telephone_number": "480-598-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Smith, RPH
• Gabriella Lynne Smith, MD
• Jayden T Smith I
• Jordan Smith
• Kathleen M Smith, PT, DPT
• Kristin Michelle Smith, LPN
• Lydia Smith
• Maria Teresa Smith, LCSW
• Melissa A Smith, CCC SLP
• Michael G Smith, DMD

• Chiropractor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.