Jeffrey Raymond Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1472 Issued in AR

Practice address

1300 SE 14TH St
Suite 2
Bentonville, AR 72712-6814

Phone

(479) 271-6992

Fax

(471) 271-6993

NPI assigned

Jan 5, 2006

Last updated

Sep 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smith Family Chiropractic & Acupuncture, Inc

  • Chiropractor
  • Bentonville, AR
  • NPI 1740268267
  Medicare reassignment Authorized official
• Northwest Arkansas Integrated Medical, Inc

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1801439302
  NPD (past) Authorized official
• Doc Network, Inc.

  • General Practice Physician
  • Bentonville, AR
  • NPI 1518249929
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1992783427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 SE 14TH ST",
            "address_2": "SUITE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126814",
            "telephone_number": "479-271-6992",
            "fax_number": "471-271-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SE 14TH ST",
            "address_2": "SUITE 2",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727126814",
            "telephone_number": "479-271-6992",
            "fax_number": "471-271-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "RAYMOND",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350054931",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smith FS2 Inc (Foot Solutions)
• Alexandra Smith
• Daniel L. Smith, NP
• Gwenda Gay Smith
• J. Anthony Smith, D.D.S.
• Katherine H Smith
• Keegan Smith
• Nakayla Smith
• Rachel L Smith, LCSW
• Robin Smith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.