DR. CLINTON M SMITH (NPI# 1891791984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891791984 |
| Entity Type | Individual |
| Full Name | DR. CLINTON M SMITH |
| Credential | D.C. |
| Practice Address |
14015 Jamestown Rd Breese IL 62230-3647 |
| Practice Telephone | 6185267732 |
| Mailing Telephone | 6185267732 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2007-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-006246 | IL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS IL | 0001482004 | 01 |
| IL | TAX ID | 37-1365531 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912339854 | Clinton Smith | Behavioral Analyst | 2 University Ct, Apt A7, Martin, TN 38237-4002 | 2013-08-02 |
| 1255512679 | Clinton M Smith | Nurse Anesthetist, Certified Registered | 14127 Roaring Fork Cir, Broomfield, CO 80023-3929 | 2007-11-14 |
| 1679081988 | Clinton Smith | Pharmacist | 2171 S Highland Ave, Jackson, TN 38301-7739 | 2018-01-21 |
| 1811387905 | Clinton Karel Smith | Registered Nurse | 800 W 5th Ave, Spokane, WA 99204-2803 | 2015-01-28 |
| 1336585926 | Clinton Boone Smith | Family Medicine | 1300 Creason Rd, Corning, AR 72422-1716 | 2013-05-22 |
| 1164764932 | Clinton James Smith | Psychologist | 6363 Forest Park Rd, Dallas, TX 75390-2553 | 2013-03-20 |
| 1710258538 | Clinton R. Smith | Nurse Practitioner | 1111 6th Ave, Des Moines, IA 50314-2613 | 2012-01-25 |
| 1992944128 | Clinton James Smith | Pharmacist | 1408 19th Ave, Fairbanks, AK 99701-5903 | 2009-02-11 |
| 1467586297 | Clinton Smith | Physical Therapist | 8 Professional Drive, Houma, LA 70360 | 2007-03-15 |
| 1306870662 | Clinton R. Smith | Radiology | 620 Crossover Rd, Tupelo, MS 38801-4944 | 2006-07-10 |
| Street Address |
14015 JAMESTOWN RD |
| City | BREESE |
| State | IL |
| Zip Code | 62230-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376694836 | Clinton M. Smith Dc PC | Chiropractor | 14015 Jamestown Rd, Breese, IL 62230-3647 | 2007-01-12 |
| 1013926575 | Rejina Louise Tebbe | Chiropractor | 14015 Jamestown Rd, Breese, IL 62230-3647 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841738457 | Coping 4 Kids | Social Worker | 900 N Walnut St., Breese, IL 62230 | 2017-02-02 |
| 1528505146 | Danielle Mueller | Licensed Practical Nurse | 604 North Chestnut, Breese, IL 62230 | 2017-01-20 |
| 1104000561 | Competitive Edge Sports Medicine | Family Medicine | 14160 Jamestown Rd, Breese, IL 62230 | 2007-12-20 |
| 1063606978 | Clarkson Optometry Illinois PC | Optometrist | 103 Clintonian Plaza, Breese, IL 62230 | 2007-09-04 |
| 1013002658 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Family Medicine | 9401 Holy Cross Lane, Suite 112, Breese, IL 62230 | 2006-10-03 |
| 1730287434 | Breese Dental Group PC. | Dentist | 9437 Holy Cross Ln., Breese, IL 62230 | 2006-09-20 |
| 1144328832 | Joe Cao Truong | Dentist | 9437 Holy Cross Lane, Breese, IL 62230 | 2006-09-20 |
| 1356391155 | Timothy H Droege | Dentist | 111 North Main, Breese, IL 62230 | 2006-05-11 |
| 1346206042 | Thomas B Doyle | Radiology | 9515 Holy Cross Lane, Breese, IL 62230 | 2006-04-22 |
| 1346730561 | Amanda Walden | Nurse Practitioner | 9401 Holy Cross Ln Ste 112, Breese, IL 62230 | 2018-05-14 |
| Find all providers in zip 62230 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710984042 | Craig A. Revermann | Chiropractor | 397 N Plum St, Breese, IL 62230-1528 | 2005-07-01 |
| 1275999336 | Travis Allen Isaak | Chiropractor | 397 N Plum St, Breese, IL 62230-1528 | 2016-01-05 |
| 1003076464 | Jamie Devon Stephens | Chiropractor | 397 N Plum St, Breese, IL 62230-1528 | 2008-06-10 |
| 1376694836 | Clinton M. Smith Dc PC | Chiropractor | 14015 Jamestown Rd, Breese, IL 62230-3647 | 2007-01-12 |
| 1679679286 | Revermann Chiropractic P.C. | Chiropractor | 397 N Plum St, Breese, IL 62230-1528 | 2006-09-15 |
| 1013926575 | Rejina Louise Tebbe | Chiropractor | 14015 Jamestown Rd, Breese, IL 62230-3647 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861347 | Evan Charles Mojica | Chiropractor | 1803 W State St Ste 150, Geneva, IL 60134-3692 | 2020-11-06 |
| 1407454424 | Mikel Marshall | Chiropractor | 881 S Lorraine Rd Apt 103, Wheaton, IL 60189-6924 | 2020-10-12 |
| 1912505157 | David Anthony Wesdock | Chiropractor | 208 Parkinson St, Normal, IL 61761-3079 | 2020-10-10 |
| 1902403124 | Maranda Joe Humphreys | Chiropractor | 2150 Manchester Rd Ste 100, Wheaton, IL 60187-2474 | 2020-10-01 |
| 1023625654 | Kennedy Nicole Brauer | Chiropractor | 208 Flax Dr Ste 200, Highland, IL 62249-1394 | 2020-09-28 |
| 1649886730 | Simply Wellness Chiropractic, LLC | Chiropractor | 7117 Crimson Ridge Dr Ste 1, Rockford, IL 61107-6213 | 2020-09-23 |
| 1639785330 | Eve Marie Greenwell | Chiropractor | 143 N Henderson St, Mt Zion, IL 62549-1313 | 2020-09-17 |
| 1588279640 | Guadalupe Garcia | Chiropractor | 2745 Maple Ave Ste 2d, Lisle, IL 60532-3231 | 2020-09-14 |
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1881208080 | Christian James Koch | Chiropractor | 5100 N Ravenswood Ave Ste 107, Chicago, IL 60640-1710 | 2020-09-04 |
| 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.