Healthcare Provider Details

I. General information

NPI: 1760301162
Provider Name (Legal Business Name): SMITH CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3613 S EASTERN AVE
LAS VEGAS NV
89169-3344
US

IV. Provider business mailing address

3613 S EASTERN AVE
LAS VEGAS NV
89169-3344
US

V. Phone/Fax

Practice location:
  • Phone: 702-570-9051
  • Fax: 702-825-3641
Mailing address:
  • Phone: 702-570-9051
  • Fax: 702-825-3641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. LOGAN SMITH
Title or Position: OWNER
Credential: DC
Phone: 702-570-9051