MEDICARE: DR. SCOTT A SMITH D.C.

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	7017	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4402118	OTHER	AZ	UNITED HEALTH CARE
2	AW5995	OTHER	AZ	HEALTHNET
3	420938710	OTHER	AZ	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1407071780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT A SMITH D.C.

Provider Business Mailing Address
First Line	:	4302 N 21ST ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-5507
Country	:	US
Telephone Number	:	480-998-1754
Fax Number	:	480-998-1754

Provider Business Practice Location Address
First Line	:	13430 N SCOTTSDALE RD STE 104-4
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-4057
Country	:	US
Telephone Number	:	480-998-1754
Fax Number	:	480-998-1754

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

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	05/11/2026

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Directions to “ DR. SCOTT A SMITH D.C.” Practice Location

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