JOHN A SMITH, DC, CCSP, PA (NPI# 1689779647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689779647 |
| Entity Type | Organization |
| Organization Name | JOHN A SMITH, DC, CCSP, PA |
| Practice Address |
2926 Capital Blvd Raleigh NC 27604-3235 |
| Practice Telephone | 9198788848 |
| Practice Fax Number | 9198788863 |
| Mailing Telephone | 9198788848 |
| Mailing Fax Number | 9198788863 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN A. SMITH (OWNER) |
| Authorized Official Telephone | 9198788848 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
1412 | NC | Chiropractic Providers |
| Street Address |
2926 CAPITAL BLVD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799332 | John Albert Smith | Chiropractor | 2926 Capital Blvd, Raleigh, NC 27604-3235 | 2005-08-31 |
| 1427473990 | Sean William Smith | Chiropractor | 2926 Capital Blvd, Raleigh, NC 27604-4514 | 2014-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508831868 | John Joseph Flynn | Chiropractor | 13220 Strickland Rd, 184, Raleigh, NC 27613-5213 | 2006-02-21 |
| 1992799332 | John Albert Smith | Chiropractor | 2926 Capital Blvd, Raleigh, NC 27604-3235 | 2005-08-31 |
| 1225107915 | Flynn Chiropractic and Sports Rehabilitation | Chiropractor | 13220 Strickland Rd, Suite 184, Raleigh, NC 27613-5213 | 2006-11-07 |
| 1366548984 | Thomas R. Ayres, Dc, Pa | Chiropractor | 6837 Falls of Neuse Rd, Suite 106, Raleigh, NC 27615-5308 | 2006-09-15 |
| 1235173824 | Thomas Ayres | Chiropractor | 6837 Falls of Neuse Rd, Suite 106, Raleigh, NC 27615-5308 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811360803 | Ihm Sports Medicine | Chiropractor | 5490 S Miami Blvd Apt 207, Durham, NC 27703-8284 | 2015-11-12 |
| 1043626088 | Swiss Alliance, Inc. | Chiropractor | 976 Martin Luther King Jr Blvd Ste 100, Chapel Hill, NC 27514-2654 | 2014-07-10 |
| 1770728032 | Pierre-yves Philippe Dubois | Chiropractor | 976 Martin Luther King Jr Blvd Ste 101, Chapel Hill, NC 27514-2654 | 2008-12-15 |
| 1639350556 | Charles P Hecht Dc Pa | Chiropractor | 1812 Martin Luther King Jr Blvd, Chapel Hill, NC 27514-7415 | 2007-11-20 |
| 1710170808 | Eric David Bryant | Chiropractor | 8041 Corporate Center Drive, Suite 100, Charlotte, NC 28226-4553 | 2007-08-22 |
| 1801959580 | Gotro Chiropractic of Indian Trail | Chiropractor | 13803 Independence Blvd Ste E, Indian Trail, NC 28079-7680 | 2006-12-18 |
| 1629137369 | Matthew Brian Horvath | Chiropractor | 112 N Winstead Ave, Rocky Mount, NC 27804-2235 | 2006-12-08 |
| 1184783367 | Arnie Wynn | Chiropractor | 610 E 7th St, Suite 2a, Charlotte, NC 28202-2923 | 2006-12-06 |
| 1891862025 | Bonnie Smithyman Baird | Chiropractor | 320 N Judd Prkwy Ne, Ste 102, Fuquay Varina, NC 27526 | 2006-11-30 |
| 1417026774 | Thomas Raleigh Forrest | Chiropractor | 102 W 32nd St, Lumberton, NC 28358-2925 | 2006-11-08 |
| Find all providers with the same taxonomy | ||||
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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.