Kenneth Paul Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC18200 Issued in CA

Practice address

7900 Limonite Ave Suite L
Riverside, CA 92509

Phone

(951) 685-5345

Fax

(951) 685-5393

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982705976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 LIMONITE AVE SUITE L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92509",
            "telephone_number": "951-685-5345",
            "fax_number": "951-685-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 LIMONITE AVE SUITE L",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92509",
            "telephone_number": "951-685-5345",
            "fax_number": "951-685-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KENNETH",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC18200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Smith, FNP
• Jessica Ashley Smith
• Joshua Mark Smith
• Katherine Smith, CATC 167327 I
• Keith Ulric Smith, DO
• Kristal D Smith
• Lelonie Smith
• Marcelynfaith Geneva Smith
• Matthew Jerome Smith
• Michael B Smith, D.D.S.

• Chiropractor in Riverside, CA
• Providers in Riverside, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.