DR. GARY R SMITH (NPI# 1639372162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639372162 |
| Entity Type | Individual |
| Full Name | DR. GARY R SMITH |
| Other Name | DR. GARY R SMITH |
| Credential | DC |
| Practice Address |
74-967 Hwy 111 Indian Wells Chiropractic Clinic Indian Wells CA 92210 |
| Practice Telephone | 7603465255 |
| Practice Fax Number | 7603465028 |
| Mailing Telephone | 7603465255 |
| Mailing Fax Number | 7603465028 |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0041 | CA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LIC | DC17960 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254393 | Gary Smith | Counselor | 97 Olde English, Romeoville, IL 60446 | 2020-01-16 |
| 1366879702 | Gary Stephen Smith | Dentist | 1391 Emerald Cir, Southlake, TX 76092-3305 | 2013-09-30 |
| 1104127125 | Gary Webster Smith | Dentist | 404 Fifth Ave., Calvert City, KY 42029 | 2010-11-08 |
| 1578887873 | Gary Lamont Smith | Counselor | 1801 N Tryon St Ste 111, Charlotte, NC 28206-2704 | 2010-03-16 |
| 1558505610 | Gary Dean Smith | Chiropractor | 1778 Watson St N, Enumclaw, WA 98022-3447 | 2009-04-20 |
| 1972781466 | Gary Bruce Smith | Counselor | 1218 West Broadway Avenue, Sulphur, OK 73086-4416 | 2008-02-06 |
| 1639369465 | Gary E.m. Smith | Optometrist | 511 E. Kern Ave., Tulare, CA 93274-4210 | 2007-07-27 |
| 1578614426 | Gary L. Smith | Dentist | 7600 Raytown Road, Suite 102, Raytown, MO 64138-1855 | 2007-01-16 |
| 1316014582 | Gary Steven Smith | Technician/Technologist | 2400 N Croatan Hwy, Kill Devil Hills, NC 27948-9355 | 2006-11-30 |
| 1366517500 | Gary Laurence Smith | Obstetrics & Gynecology | 1230 Johnson Ferry Rd, Suite H-30, Marietta, GA 60068 | 2006-11-22 |
| Street Address |
74-967 HWY 111 INDIAN WELLS CHIROPRACTIC CLINIC |
| City | INDIAN WELLS |
| State | CA |
| Zip Code | 92210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750579348 | Linda Mak, Md, Inc. | Dermatology | 74-900 Hwy 111, Ste 212, Indian Wells, CA 92210 | 2007-10-09 |
| 1477696813 | Richard Stephen Donley | Chiropractor | 74967 Highway 111, Indian Wells, CA 92210 | 2007-02-15 |
| 1689746125 | Frank Warren Gustafson | Physical Therapist | 45240 Club Drive, Indian Wells, CA 92210 | 2006-11-13 |
| 1891899373 | Matthew F Gutowicz Jr. | Radiology | 74785 Highway 111 Suite V101 Wall St West Bldg, Indian Wells, CA 92210 | 2006-09-12 |
| 1407959455 | Emergency Physicians Medical Group Inc | Emergency Medicine | 74785 Highway 111, Suite 100, Indian Wells, CA 92210 | 2006-09-06 |
| 1033169339 | Adam James Brochert | Radiology | 74785 Us Highway 111 Ste 101, Indian Wells, CA 92210 | 2006-05-10 |
| 1801181961 | Executive Urgent Care of Indian Wells | Clinic/Center | 74785 Highway 111, Suite 100, Indian Wells, CA 92210 | 2011-06-16 |
| 1801093844 | Frank Conyngham Crawford II | Dentist | 74-900 Hwy 111, Suite 210, Indian Wells, CA 92210 | 2007-07-02 |
| 1942358320 | Richard Vandyke Packard | Optometrist | 74927 Us Highway 111, Indian Wells, CA 92210 | 2007-01-08 |
| 1053475061 | Ivan T Kanno | Emergency Medicine | 74785 Highway 111, Suite 100, Indian Wells, CA 92210 | 2006-12-21 |
| Find all providers in zip 92210 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497006415 | Rustin Craig Wilson | Chiropractor | 74967 Us Highway 111, Indian Wells, CA 92210-7136 | 2012-10-01 |
| 1477696813 | Richard Stephen Donley | Chiropractor | 74967 Highway 111, Indian Wells, CA 92210 | 2007-02-15 |
| 1134120058 | Corvin Kelly | Chiropractor | 74976 Us Highway 111, Indian Wells, CA 92210-7117 | 2005-08-02 |
| 1811461593 | Matthew D. Smith, D.c., A Chiropractic Corporation | Chiropractor | 74967 Us Highway 111, Indian Wells, CA 92210-7136 | 2019-01-16 |
| 1699293969 | Matthew Smith | Chiropractor | 74967 Us Highway 111, Indian Wells, CA 92210-7136 | 2017-09-06 |
| 1598019432 | Gary R. Smith Dc A Professional Chiropractic Corporation | Chiropractor | 74967 Us Highway 111, Indian Wells, CA 92210-7136 | 2012-10-30 |
| 1831351998 | Kelly Chiropractic Inc | Chiropractor | 74976 Us Highway 111, Indian Wells, CA 92210-7117 | 2008-06-30 |
| 1548288574 | Indian Wells Medical Center | Chiropractor | 74976 Us Highway 111, Indian Wells, CA 92210-7117 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073615 | Tsu Yao Lam | Chiropractor | 9337 Steele St, Rosemead, CA 91770-1915 | 2020-11-05 |
| 1255932356 | Dr Demetria Casady Chiropractic PC | Chiropractor | 10801 Foothill Blvd Ste 104, Rancho Cucamonga, CA 91730-7695 | 2020-11-04 |
| 1285234286 | Hifai Chiropractic Inc | Chiropractor | 7805 Highland Village Pl Ste 104, San Diego, CA 92129-5181 | 2020-10-28 |
| 1679173157 | Mvmt Matters, A Daniel J Saenz Chiropractic Corporation | Chiropractor | 7700 Folsom Auburn Rd Ste 135, Folsom, CA 95630-6637 | 2020-10-26 |
| 1295334829 | Anat Aronowicz | Chiropractor | 136 S Peck Dr Apt C, Beverly Hills, CA 90212-2461 | 2020-10-24 |
| 1417556218 | Mandy Wong | Chiropractor | 3058 Marston Way, San Jose, CA 95148-3118 | 2020-10-22 |
| 1205435179 | Linet Sarkisyan | Chiropractor | 530 E Santa Anita Ave Apt 102, Burbank, CA 91501-2912 | 2020-10-22 |
| 1871192922 | Jason Trainer | Chiropractor | 4580 Southampton St, San Diego, CA 92117-4032 | 2020-10-20 |
| 1598363079 | Zachary Allen Peters | Chiropractor | 2071 Antioch Ct Ste 203, Oakland, CA 94611-2955 | 2020-10-15 |
| 1558969238 | Fernando A Titus | Chiropractor | 233 6th St, Manhattan Beach, CA 90266-5735 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | INDIAN WELLS |
| Zip Code | 92210 |
Please comment or provide details below to improve the information on DR. GARY R SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.