Individual provider Active NPI

Ryan T Smith, DC

  • Chiropractor
  • Tawma, WA
National Provider Identifier
1972772226
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00034880 Issued in WA
Practice address
601 S. Pine St Ste 201
Tawma, WA 98405
Phone
(253) 396-1000
Fax
(253) 396-1012
NPI assigned
Feb 20, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00034880 WA Primary

Addresses

Primary practice location

601 S. Pine St Ste 201
Tawma, WA 98405

Mailing address

601 S. Pine St Ste 201
Tawma, WA 98405
Phone (253) 396-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080715000587 WA Practitioner - Chiropractic 7012080617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyford Chiropractic PLLCGroup PAC ID 9931268356, 6 clinicians

Practice addresses (Care Compare)

601 S Pine St
Suite 201
Tacoma, WA 98405-2795
Phone (253) 396-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00034880WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
E1Spine PLLC Chiropractor CurrentSince Apr 24, 2022 Accepting new patients
Tacoma Chiropractic Health Connection Chiropractor CurrentSince Jun 6, 2023 Accepting new patients

Locations

601 S Pine St
Ste 201
Tacoma, WA 98405
Phone (253) 396-1000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1972772226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S. PINE ST STE 201",
            "city": "TAWMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-396-1000",
            "fax_number": "253-396-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S. PINE ST STE 201",
            "city": "TAWMA",
            "state": "WA",
            "postal_code": "98405",
            "telephone_number": "253-396-1000",
            "fax_number": "253-396-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RYAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-20",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.