BRIAN J SMITH, DC (NPI# 1912399171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912399171 |
| Entity Type | Organization |
| Organization Name | BRIAN J SMITH, DC |
| Other Organization Name | CHIROPRACTICMASSAGEMEDFORD |
| Practice Address |
329 S Ivy St Medford OR 97501-3174 |
| Practice Telephone | 5418974055 |
| Mailing Telephone | 5418974055 |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2015-02-25 |
| Authorized Official Name | BRIAN JARED SMITH (DR) |
| Authorized Official Telephone | 5418974055 |
| Authorized Official Credential | DC |
| Is Organization Subpart | Y |
| Parent Organization Name | BRIAN J SMITH, DC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 5526 | OR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500667962 | 05 |
| Other Name | Type Code |
|---|---|
| chiropracticmassagemedford | Doing Business As Name - Organization |
| Street Address |
329 S IVY ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-3174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225106651 | Brian Jared Smith | Chiropractor | 329 S Ivy St, Medford, OR 97501-3174 | 2006-12-01 |
| 1649629734 | Meridian Wellness Center | Clinic/Center | 329 S Ivy St, Medford, OR 97501-3174 | 2016-06-08 |
| 1649638974 | Nicole Rae Mendoza | Nurse Practitioner | 329 S Ivy St, Medford, OR 97501-3174 | 2016-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| 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 |
|---|---|---|---|---|
| 1033620687 | Steve Issac Santoni | Chiropractor | 4149 S Pacific Hwy Ste 434, Medford, OR 97501-9104 | 2017-10-22 |
| 1568984714 | Trisha Anne Sileo | Chiropractor | 99 Taunton Rd # 101, Medford, NJ 08055-9362 | 2017-07-10 |
| 1366824450 | Johann L. Towne | Chiropractor | 945 Town Centre Dr Ste C, Medford, OR 97504-6190 | 2015-06-24 |
| 1073934204 | Degre Chiropractic LLC | Chiropractor | 92 High St Ste Dh32, Medford, MA 02155-3843 | 2013-12-13 |
| 1023445327 | Corey O'neill | Chiropractor | 943 Automation Way, A1, Medford, OR 97504-4192 | 2013-10-01 |
| 1376888941 | Mlm Chiropractic, LLC | Chiropractor | 133-b Jackson Rd, Medford, NJ 08055 | 2012-12-07 |
| 1912241092 | 495 Chiropractic, PC | Chiropractor | 570 Expressway Dr S, Suite 2c, Medford, NY 11763-2049 | 2012-11-15 |
| 1003188509 | Samuel Robert Klinner | Chiropractor | 115 E Perkins St, Medford, WI 54451-1852 | 2012-01-31 |
| 1285869040 | Mc Chiropractic | Chiropractor | 1550 Biddle Rd, Ste. D, Medford, OR 97504-4691 | 2009-05-22 |
| 1992981450 | Anthony Francis Micucci | Chiropractor | 170 Kettles Ln, Medford, NY 11763-1552 | 2008-01-15 |
| Find all providers in MEDFORD | ||||
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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.