MEDICARE: DR. MICHAEL DAVID SMITH DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2128	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366554974
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DAVID SMITH DC

Provider Business Mailing Address
First Line	:	2319 VOLUNTEER PKWY
Second Line	:
City	:	BRISTOL
State	:	TN
Zip	:	37620-6701
Country	:	US
Telephone Number	:	423-217-1700
Fax Number	:	423-217-1717

Provider Business Practice Location Address
First Line	:	2319 VOLUNTEER PKWY
Second Line	:
City	:	BRISTOL
State	:	TN
Zip	:	37620-6701
Country	:	US
Telephone Number	:	423-217-1700
Fax Number	:	423-217-1717

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	02/12/2026

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Directions to “ DR. MICHAEL DAVID SMITH DC” Practice Location

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