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DR. SHANE SMITH D.C. NPI 1821177197


NPI Information

NPI: 1821177197
Provider Name: DR. SHANE SMITH, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2301 BERLIN TPKE
NEWINGTON, CT
ZIP 06111
Phone: (860) 667-8334
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DR. Shane Smith, D.C. is a chiropractor in Newington, CT with 21 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. Shane Smith, D.C. NPI is 1821177197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Graduation Year:2003

The provider's business location address is:

2301 BERLIN TPKE
NEWINGTON, CT
ZIP 06111-206
Phone: (860) 667-8334
Fax: (860) 760-6456

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 11/6/2006 and was last updated on 11/24/2012.


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
1111N00000XChiropractor001553CONNECTICUTYes

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
1V05204MEDICARE UPINCONNECTICUT
2350001407MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
3050001553CT02OTHERCONNECTICUTBLUECROSSBLUESHIELD
43689845OTHERCONNECTICUTAETNA
5672541OTHERCONNECTICUTCONNECTICARE

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.