DR. ROOSEVELT J SMITH (NPI# 1235235680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235235680 |
| Entity Type | Individual |
| Full Name | DR. ROOSEVELT J SMITH |
| Practice Address |
4518-a West Market St Greensboro NC 27407 |
| Practice Telephone | 3362354022 |
| Practice Fax Number | 3362354023 |
| Mailing Telephone | 3362354022 |
| Mailing Fax Number | 3362354023 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
2930 | NC | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89085AM | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386178614 | Roosevelt Smith | Counselor | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2017-04-13 |
| 1003836701 | Roosevelt Smith Jr. | Physician Assistant | 62 E 3rd St, Suite 3, Winona, MN 55987-3481 | 2006-07-19 |
| Street Address |
4518-A WEST MARKET ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| 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 |
|---|---|---|---|---|
| 1669409181 | Steve M Willen | Chiropractor | 3808 High Point Rd, Suite H, Greensboro, NC 27407-4713 | 2006-06-28 |
| 1407838675 | Damien Jude Rodulfo | Chiropractor | 2105 W Cornwallis Dr Ste C, A, Greensboro, NC 27408-7098 | 2005-11-15 |
| 1881790848 | Willen Chiropractic Center | Chiropractor | 3808 High Point Rd, Suite H, Greensboro, NC 27407-4713 | 2006-09-16 |
| 1649298217 | Rodulfo Chiropractic Pllc | Chiropractor | 2105 W Cornwallis Dr Ste C, Greensboro, NC 27408-7098 | 2006-07-18 |
| 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 | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
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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.