Organization Active NPI

J.W. Smith, D.C., LLC

  • Health Service Clinic/Center
  • Klamath Falls, OR
National Provider Identifier
1932715935
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
J.W. SMITH, D.C., LLC
Practice address
2041 Radcliffe Ave
Klamath Falls, OR 97601-3322
Phone
(541) 810-2332
Fax
(541) 205-3822
NPI assigned
Sep 16, 2020
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Dr. Jeffrey Winston Smith, DCNPI 1588788111
Title
Owner
Phone
(541) 810-2332

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

2041 Radcliffe Ave
Klamath Falls, OR 97601-3322

Mailing address

PO Box 1910
Klamath Falls, OR 97601-0109
Phone (541) 810-2332

Other identifiers 1

IdentifierTypeStateIssuer
1588788111OtherNPI

National Provider Directory

National Provider Directory

Locations

2041 Radcliffe Ave
Klamath Falls, OR 97601
Phone (541) 810-2332

4747 S 6th St
Ste 2
Klamath Falls, OR 97603

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.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1932715935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1910",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976010109",
            "telephone_number": "541-810-2332",
            "fax_number": "541-205-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 RADCLIFFE AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013322",
            "telephone_number": "541-810-2332",
            "fax_number": "541-205-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.W. SMITH, D.C., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-810-2332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588788111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.