DR. WILLIAM J. SMITH (NPI# 1851379499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851379499 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM J. SMITH |
| Credential | DC., CCST |
| Practice Address |
1400 S Ave D Portales NM 88130-6886 |
| Practice Telephone | 5053564440 |
| Practice Fax Number | 5053564433 |
| Mailing Telephone | 5753564440 |
| Mailing Fax Number | 5753564433 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2008-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
NM1130 | NM | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PRESBYTERIAN PROVIDER # | 201009423 | 01 |
| NM | RAILROAD MEDICARE PIN | 350023553 | 01 |
| NM | K9129 | 05 | |
| NM | BCBS PROVIDER # | NM01K995 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275179178 | William Smith Iv | Private Vehicle | 2535 S Twin Bridge Rd, Decatur, IL 62521-9604 | 2019-11-26 |
| 1700430907 | William K. Smith | Physical Medicine & Rehabilitation | 4301 Jones Bridge Rd Rm 1036, Bethesda, MD 20814-4712 | 2019-07-26 |
| 1861995920 | William D Smith Jr. | Pharmacist | 3501 Gladstone Blvd, Kansas City, MO 64123-1114 | 2018-03-15 |
| 1467999102 | William Smith | Dentist | 9601 Chester Ave # 239j, Cleveland, OH 44106 | 2017-01-19 |
| 1134663149 | William Smith | Pharmacy Technician | 1646 Redbud Cir, Radcliff, KY 40160-2823 | 2016-12-09 |
| 1073065090 | William C Smith | Acupuncturist | 4482 E Belleview St, Phoenix, AZ 85008-5644 | 2016-10-25 |
| 1548719776 | William Smith | Rehabilitation Practitioner | 319 S 1st St, Suite #29, Temple, TX 76504-5500 | 2016-09-29 |
| 1134583677 | William Smith | Student in an Organized Health Care Education/Training Program | 100 Cooper St Apt 2f, New York, NY 10034-2312 | 2016-04-11 |
| 1003275009 | William Smith | Specialist | 761 Sw Darcy Ave, Siletz, OR 97380-2019 | 2016-02-18 |
| 1154797892 | William Smith | Contractor | 320 Harman St Apt 1l, Brooklyn, NY 11237-4929 | 2015-08-17 |
| Street Address |
1400 S AVE D |
| City | PORTALES |
| State | NM |
| Zip Code | 88130-6886 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245861319 | Cynthia Alarid | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Schroc, Portales, NM 88130 | 2020-01-28 |
| 1649800384 | Gurveen Sandhu | Student in an Organized Health Care Education/Training Program | 1500 S Ave. K Station 3, Shroc, Portales, NM 88130 | 2020-01-22 |
| 1740744226 | Ashley Mcclelland | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K, Station 3 Shroc, Portales, NM 88130 | 2019-01-29 |
| 1285103218 | Jessica Dianne Terry | Behavior Technician | 743 S Hills Oak Rd, Portales, NM 88130 | 2018-11-20 |
| 1619445822 | Jonna Smith | Marriage & Family Therapist | 44 S Roosevelt Road N, Portales, NM 88130 | 2018-11-06 |
| 1932689254 | Carolina Yanez | Student in an Organized Health Care Education/Training Program | 1500 S. Avenue K Station 3 Shroc, Portales, NM 88130 | 2018-08-16 |
| 1033611918 | Shelley Marie Laya | Student in an Organized Health Care Education/Training Program | 1500 S. Ave K., Station 3, Shroc, Portales Nm, CA 88130 | 2018-03-06 |
| 1750800744 | Sara Rose Mccarty | Student in an Organized Health Care Education/Training Program | 1500 S Ave K Station 3, Shro, Portales, NM 88130 | 2017-09-12 |
| 1528584463 | Calli Bane | Student in an Organized Health Care Education/Training Program | 1500 South Ave. K, Station 3, Shroc, Portales, NM 88130 | 2017-08-22 |
| 1700302890 | Victoria L Young | Speech-Language Pathologist | 1500 South Ave K, Station 3 Shroc, Portales, NM 88130 | 2017-08-21 |
| Find all providers in zip 88130 | ||||
| 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 |
|---|---|---|---|---|
| 1710138706 | Clovis Chiropractic & Healthcare Center Pa | Chiropractor | 3001 N Prince St, Clovis, NM 88101-3827 | 2008-10-08 |
| 1467580563 | Nancy North | Chiropractor | 11001 Spain Rd Ne Ste C, Albuquerque, NM 87111-1898 | 2007-03-01 |
| 1467510024 | Vincent L Frost | Chiropractor | 1210 Rio Grande Blvd Nw, Albuquerque, NM 87104-2631 | 2006-12-05 |
| 1518049246 | Michael Salvatore Maggio | Chiropractor | 1100 Lomas Blvd Nw, Suite #1, Albuquerque, NM 87102-1863 | 2006-10-20 |
| 1265514632 | Jonathan D Smith | Chiropractor | 225 E Idaho Ave Ste 30, Las Cruces, NM 88005-3242 | 2006-10-19 |
| 1326078601 | Vaughn R. Ditto | Chiropractor | 205 E Sanger St, Hobbs, NM 88240-4403 | 2006-07-03 |
| 1548231244 | William Vernon Trabold | Chiropractor | 2620 San Mateo Blvd Ne, F, Albuquerque, NM 87110-3165 | 2006-01-30 |
| 1174080527 | Amanda Smith | Chiropractor | 10555 Montgomery Blvd Ne, Albuquerque, NM 87111-3857 | 2019-02-21 |
| 1548650245 | Apollo Chiropractic Health and Wellness, LLC | Chiropractor | 8201 Golf Course Rd Nw, Suite C-2a, Albuquerque, NM 87120-5842 | 2015-02-02 |
| 1336555853 | La Bella Spa Salon | Chiropractor | 10126 Coors Blvd Nw, Albuquerque, NM 87114-4022 | 2014-07-03 |
| Find all providers with the same taxonomy | ||||
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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.