Active NPI
Gary Robert Smith Jr., D.C.
- Neurology Chiropractor
- Elma, NY
National Provider Identifier
1942397245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- X007938
- Practice address
- 5660 Clinton St
Suite 4
Elma, NY 14059-9494 - Phone
- (716) 686-0868
- Fax
- (716) 686-0869
- NPI assigned
- Oct 6, 2006
- Last updated
- May 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | X007938 | NY | Primary |
Addresses
Primary practice location
5660 Clinton St
Suite 4
Elma, NY 14059-9494
Mailing address
5660 Clinton St
Suite 4
Elma, NY 14059-9494
Phone (716) 686-0868
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081027000088 | NY | Practitioner - Chiropractic | 8325106982 | Practice locations: Elma, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007938 | NY | MD | Neurology Chiropractor |
| 007938 | NY | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1942397245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5660 CLINTON ST",
"address_2": "SUITE 4",
"city": "ELMA",
"state": "NY",
"postal_code": "140599494",
"telephone_number": "716-686-0868",
"fax_number": "716-686-0869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5660 CLINTON ST",
"address_2": "SUITE 4",
"city": "ELMA",
"state": "NY",
"postal_code": "140599494",
"telephone_number": "716-686-0868",
"fax_number": "716-686-0869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "GARY",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "NY",
"license": "X007938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elma, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.