Healthcare Provider Details

I. General information

NPI: 1548492168
Provider Name (Legal Business Name): CASHA CHIERRE SMITH D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2009
Last Update Date: 01/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10800 LOCKWOOD DR STE 204
SILVER SPRING MD
20901-1554
US

IV. Provider business mailing address

10800 LOCKWOOD DR STE 204
SILVER SPRING MD
20901-1554
US

V. Phone/Fax

Practice location:
  • Phone: 240-641-5693
  • Fax: 240-641-5702
Mailing address:
  • Phone: 240-641-5693
  • Fax: 240-641-5702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number03626
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104556739
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: