Individual provider Active NPI

Molly Ann Smyser, D.C.

  • Chiropractor
  • Southport, NC
National Provider Identifier
1992169718
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4631 Issued in NC
Practice address
1635 N Howe St
Suite J&K
Southport, NC 28461-8372
Phone
(910) 454-4041
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4631 NC Primary

Addresses

Primary practice location

1635 N Howe St
Suite J&K
Southport, NC 28461-8372

Mailing address

1635 N Howe St
Suite J&K
Southport, NC 28461-8372

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622002436 NC Practitioner - Chiropractic 8820389844 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fuel Chiropractic, PLLC Chiropractor CurrentSince Aug 3, 2023 Accepting new patients
Mind and Spine Chiropractic, PLLC Chiropractor Current Accepting new patients

Locations

5021 Southport Crossing Way
Ste 300
Southport, NC 28461
Phone (910) 363-8140

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": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1992169718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N HOWE ST",
            "address_2": "SUITE J&K",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N HOWE ST",
            "address_2": "SUITE J&K",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618372",
            "telephone_number": "910-454-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYSER",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.