Healthcare Provider Details

I. General information

NPI: 1407833783
Provider Name (Legal Business Name): JAMES E SMITH D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6206 PETERS CREEK RD
ROANOKE VA
24019-4026
US

IV. Provider business mailing address

620 N MAIN ST STE 202
BLACKSBURG VA
24060-3385
US

V. Phone/Fax

Practice location:
  • Phone: 540-563-0334
  • Fax:
Mailing address:
  • Phone: 540-951-6900
  • Fax: 540-951-8900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number0104001374
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2182
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: