Individual provider Active NPI

Rick D. Smith, D.C.

  • Chiropractor
  • Amarillo, TX
National Provider Identifier
1992788079
Registry record updated Sep 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9846 Issued in TX
Practice address
2901 S Georgia St
Amarillo, TX 79109-3436
Phone
(806) 342-3333
Fax
(806) 350-7792
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9846 TX Primary

Addresses

Primary practice location

2901 S Georgia St
Amarillo, TX 79109-3436

Mailing address

2901 S Georgia St
Amarillo, TX 79109-3436
Phone (806) 342-3333

Other identifiers 1

IdentifierTypeStateIssuer
169494501MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041123000786 TX Practitioner - Chiropractic 5890750442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2901 S Georgia St
Amarillo, TX 79109-3436
Phone (806) 342-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9846TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Chiropractic and Wellness,LLC Chiropractor CurrentSince May 19, 2015 Accepting new patients
Amarillo Family Chiropractic PC PastSince Aug 1, 2012 Accepting new patients
Midtown Medical and Wellness Center PastSince Jan 17, 2021 Accepting new patients

Locations

2901 S Georgia St
Amarillo, TX 79109
Phone (806) 342-3333

Organizations & group practices 3

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221782400000",
    "number": "1992788079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093436",
            "telephone_number": "806-342-3333",
            "fax_number": "806-350-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S GEORGIA ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791093436",
            "telephone_number": "806-342-3333",
            "fax_number": "806-350-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RICK",
        "middle_name": "D.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169494501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; 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.