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DR. JESSIE DEAN SMITH D.C. NPI 1003918319


NPI Information

NPI: 1003918319
Provider Name: DR. JESSIE DEAN SMITH, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
115 S. 15TH
SUITE C
POCATELLO, ID
ZIP 83201
Phone: (208) 232-7558
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DR. Jessie Dean Smith, D.C. is a chiropractor in Pocatello, ID with 29 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. Jessie Dean Smith, D.C. NPI is 1003918319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WESTERN STATES COLLEGE OF CHIROPRACTIC
Graduation Year:1995

The provider's business location address is:

115 S. 15TH
SUITE C
POCATELLO, ID
ZIP 83201
Phone: (208) 232-7558
Fax: (208) 232-7549

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, 3 to 4 spinal regions (HCPCS:98941)
  • Chiropractic manipulative treatment, 5 spinal regions (HCPCS:98942)
  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 9/5/2006 and was last updated on 7/15/2013.


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
1111N00000XChiropractorCHIA809IDAHOYes

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
11673483MEDICARE PIN
2U59646MEDICARE UPIN
3U59646MEDICARE UPINIDAHO

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.