Ryan R Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8012 Issued in AZ

Practice address

2123 S Highway 92
Sierra Vista, AZ 85635-5269

Phone

(520) 459-5199

Fax

(520) 459-1303

NPI assigned

Aug 15, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

23.98 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

79.93

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kelly Brett Smith Chiropractic PLLC

  • Chiropractor
  • Sierra Vista, AZ
  • NPI 1295450336
  NPD (past)
• Smith Chiropractic

  • Chiropractor
  • Sierra Vista, AZ
  • NPI 1992984546
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507766400000",
    "number": "1922011345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 S HIGHWAY 92",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355269",
            "telephone_number": "520-459-5199",
            "fax_number": "520-459-1303"
        },
        {
            "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",
            "fax_number": "520-459-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2017-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z5778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Andrew Smith, FNP-C
• Elizabeth Smith, ANP
• Jennifer Hale Smith, M.D.
• Jessica Smith, LMSW
• Kelly Brett Smith, D.C.
• Steven John Smith, D.D.S.
• Smiths Food & Drug Centers Inc
• Jane Alice Sobel, RDH, APDH
• Brittany Nichole Soch, DNP
• Sonography Solutions LLC

• All providers in Sierra Vista, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.