MEDICARE: JAMES J 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	K3380	KS

General Provider Information

NPI Number	:	1649326844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES J SMITH D.C

Provider Business Mailing Address
First Line	:	5502 MIAMI AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-1327
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5502 MIAMI AVE
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66106-1327
Country	:	US
Telephone Number	:	913-596-1119
Fax Number	:

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

Provider Enumeration Date	:	01/28/2007
Last Update Date	:	07/08/2007

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