DR. KELSEY SMITH (NPI# 1659801108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659801108 |
| Entity Type | Individual |
| Full Name | DR. KELSEY SMITH |
| Credential | DC |
| Practice Address |
2300 Matlock Rd Ste 4 Mansfield TX 76063-5018 |
| Mailing Address |
370 N State Highway 360 Apt 6101 Mansfield TX 76063-9030 |
| Practice Telephone | 6825183070 |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13521 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS BOARD OF CHIROPRACTIC EXAMINERS | 13521 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075636 | Kelsey Morgan Smith | Occupational Therapist | 1059 W Laguna Azul Ave, Mesa, AZ 85210-7125 | 2019-07-23 |
| 1912420381 | Kelsey Smith | Speech-Language Pathologist | 30362 Crepe Myrtle Ct, Daphne, AL 36527-8613 | 2017-07-18 |
| 1114453123 | Kelsey Smith | Social Worker | 14535 3/4 Dickens St, Sherman Oaks, CA 91403-3761 | 2017-05-11 |
| 1609300300 | Kelsey Smith | Occupational Therapist | 3111 124th Ave Nw Ste 123, Coon Rapids, MN 55433-4573 | 2017-04-19 |
| 1114536190 | Kelsey Marie Smith | Massage Therapist | 5 N Main St, Englewood, OH 45322-1326 | 2020-07-27 |
| 1750905964 | Kelsey Deborah Smith | Optometrist | 1075 N Academy Blvd, Colorado Springs, CO 80909-4401 | 2020-06-03 |
| 1962035451 | Kelsey Dee Smith | Physical Therapy Assistant | 209 Fitness Way Ste D, Athens, AL 35611-2452 | 2020-02-13 |
| 1588296081 | Kelsey Smith | Behavior Technician | 632 Eastern Blvd, Clarksville, IN 47129-2463 | 2020-02-12 |
| 1992337042 | Kelsey Margaret Smith | Physical Therapist | 600 Country Club Rd, Eugene, OR 97401-2240 | 2020-02-06 |
| 1790336857 | Kelsey Smith | Student in an Organized Health Care Education/Training Program | 12440 Firestone Blvd Ste 3020, Norwalk, CA 90650-9328 | 2019-09-20 |
| Street Address |
2300 MATLOCK RD STE 4 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-5018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| 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 |
|---|---|---|---|---|
| 1871119883 | Skylar Dian Camacho | Chiropractor | 1560 E Debbie Ln, Mansfield, TX 76063-8574 | 2020-06-25 |
| 1871067124 | Wicked Good Chiropractic & Wellness Group, PC | Chiropractor | 77 West St Ste A, Mansfield, MA 02048-2403 | 2019-01-18 |
| 1154892883 | Lifeforge, Pllc | Chiropractor | 408 S Main St Ste B, Mansfield, TX 76063-3183 | 2018-12-06 |
| 1043750037 | Emily Puente | Chiropractor | 1475 Heritage Pkwy Ste 325, Mansfield, TX 76063-2736 | 2017-02-24 |
| 1972048106 | Julie Shaffer | Chiropractor | 812 Twin Creek Dr, Mansfield, TX 76063-2840 | 2016-12-26 |
| 1578977559 | Nicholas T Jackson | Chiropractor | 99 Regency Pkwy Ste 211, Mansfield, TX 76063-7819 | 2014-06-17 |
| 1457786329 | Stephen James Berndt | Chiropractor | 1229 Concho Trl, Mansfield, TX 76063-5768 | 2013-09-10 |
| 1043567761 | Ashley Nicole Carr | Chiropractor | 305 Regency Pkwy Ste 801, Mansfield, TX 76063-3794 | 2012-08-13 |
| 1972880854 | Olar Family Chiropractic, Inc | Chiropractor | 1115a Lexington Ave, Mansfield, OH 44907-2251 | 2011-11-07 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in MANSFIELD | ||||
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| 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.