Active NPI
Brian Alan Smith, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1972749091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- D.C.28856
- Practice address
- 3692 Bancroft St
San Diego, CA 92104-4309 - Phone
- (619) 838-7130
- NPI assigned
- Dec 18, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | D.C.28856 | CA | Primary |
Addresses
Primary practice location
3692 Bancroft St
San Diego, CA 92104-4309
Mailing address
3692 Bancroft St
San Diego, CA 92104-4309
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.C.28856 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229558400000",
"number": "1972749091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3692 BANCROFT ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921044309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3692 BANCROFT ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921044309",
"telephone_number": "619-838-7130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "BRIAN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-12-18",
"last_updated": "2008-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "D.C.28856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.