Active NPI
Tara Dawn Smith
- Chiropractor
- Bayside, NY
National Provider Identifier
1962659144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009921
- Practice address
- 1541 212TH St
Bayside, NY 11360-1109 - Phone
- (718) 490-0557
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009921 | NY | Primary |
Addresses
Primary practice location
1541 212TH St
Bayside, NY 11360-1109
Mailing address
1541 212TH St
Bayside, NY 11360-1109
Phone (718) 490-0557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009921 | NY | MD | Mental Health Counselor |
| X009921 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TS Chiropractic Wellness, P.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1730632621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1962659144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 212TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601109",
"telephone_number": "718-490-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 212TH ST",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113601109",
"telephone_number": "718-490-0557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TARA",
"middle_name": "DAWN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.