Organization Active NPI

Smith Chiropractic LLC

  • Chiropractor
  • El Paso, TX
National Provider Identifier
1982929196
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2406 Issued in TX
Legal business name
SMITH CHIROPRACTIC LLC
Practice address
1417 Brown St
El Paso, TX 79902-4752
Phone
(915) 533-2225
Fax
(915) 533-0974
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Dr. Oliver R. Smith Jr., DC
Title
Chiropractor
Phone
(915) 533-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2406 TX Primary

Addresses

Primary practice location

1417 Brown St
El Paso, TX 79902-4752

Mailing address

1417 Brown St
El Paso, TX 79902-4752
Phone (915) 533-2225

Other identifiers 1

IdentifierTypeStateIssuer
2406OtherTXTEXAS STATE CHIROPRACTIC LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100810000182 TX Part B Supplier - Clinic/Group Practice 7315071503 Receives reassigned benefits from 2 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

1417 Brown St
El Paso, TX 79902
Phone (915) 533-2225

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1982929196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 BROWN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024752",
            "telephone_number": "915-533-2225",
            "fax_number": "915-533-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 BROWN ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024752",
            "telephone_number": "915-533-2225",
            "fax_number": "915-533-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "915-533-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE CHIROPRACTIC LICENSE",
            "identifier": "2406",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2010; 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.

Verify at the official NPI Registry.