Kevin C Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15986 Issued in AR

Practice address

1903 Grant Ave
Ste. B
Jonesboro, AR 72401-6134

Phone

(870) 336-3333

Fax

(870) 336-3332

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beebe Chiropractic, PA

  • Chiropractor
  • Beebe, AR
  • NPI 1831871730
  Medicare reassignment NPD
• Power Spine & Sport PA

  • Chiropractor
  • Conway, AR
  • NPI 1043908171
  Medicare reassignment NPD
• Virginia Wellness Associates Inc.

  • Chiropractor
  • Richmond, VA
  • NPI 1598703696
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1992737803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 GRANT AVE",
            "address_2": "STE. B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016134",
            "telephone_number": "870-336-3333",
            "fax_number": "870-336-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 GRANT AVE",
            "address_2": "STE. B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016134",
            "telephone_number": "870-336-3333",
            "fax_number": "870-336-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001974",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Jolene Smith, M.S.
• Kathryn Smith
• Kelsey Smith
• Kendrick J Smith
• Kenisha Smith
• Kimberly L Smith
• Latosha Smith
• Lauren Gayle Smith, LPN
• Layla Amanda Smith
• Lexie Elanie Smith

• Chiropractor in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.