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DR. JACK STEVEN SMITH DC NPI 1659450773


NPI Information

NPI: 1659450773
Provider Name: DR. JACK STEVEN SMITH, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
1815 W MISSOURI AVE STE 102
PHOENIX, AZ
ZIP 85015
Phone: (623) 398-9213
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DR. Jack Steven Smith, DC is a chiropractor in Phoenix, AZ with 53 years of experience. The provider is 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. DR. Jack Steven Smith, DC NPI is 1659450773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year:1971

The provider's business location address is:

1815 W MISSOURI AVE STE 102
PHOENIX, AZ
ZIP 85015-047
Phone: (623) 398-9213

The enumeration date for this NPI number is 11/2/2006 and was last updated on 10/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturistARIZONANo
2111N00000XChiropractor684ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZDC684MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.