Organization Active NPI

Smith Chiropractic

  • Chiropractor
  • Sierra Vista, AZ
National Provider Identifier
1992984546
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4487 Issued in AZ
Legal business name
SMITH CHIROPRACTIC
Practice address
1700 S Highway 92 Ste E1
Sierra Vista, AZ 85635-5858
Phone
(520) 459-5199
Fax
(520) 459-1303
NPI assigned
Oct 31, 2007
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Kelly R Smith, D.C.
Title
Owner/Sole Proprietor
Phone
(520) 459-5199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4487 AZ Primary

Addresses

Primary practice location

1700 S Highway 92 Ste E1
Sierra Vista, AZ 85635-5858

Mailing address

1700 S Highway 92
Suite E1
Sierra Vista, AZ 85635-5856
Phone (520) 459-5199

National Provider Directory

National Provider Directory

Locations

1700 S Highway 92
Ste E1
Sierra Vista, AZ 85635
Phone (520) 459-5199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1992984546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S HIGHWAY 92",
            "address_2": "SUITE E1",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355856",
            "telephone_number": "520-459-5199",
            "fax_number": "520-459-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S HIGHWAY 92 STE E1",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355858",
            "telephone_number": "520-459-5199",
            "fax_number": "520-459-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "520-459-5199",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.