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DR. SHANE SMITH DC
NPI 1124578836
Chiropractor in Omaha, NE

Active since October 05, 2016
12313 GOLD ST, OMAHA, NE 68144(402) 763-9015(402) 885-7683 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Shane Smith Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANE SMITH DC (NPI 1124578836) is an individual chiropractor in Omaha, Nebraska, licensed in Nebraska (1898) and active in the NPI registry since October 2016. He is a graduate of Cleveland Chiropractic College - Kansas City (2016).

NPPES Registry Identity

NPI1124578836
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANE SMITHCredential: DC
Location Address12313 GOLD STOmaha, NE 68144-2760
Mailing Address5737 N 128th StOmaha, NE 68164-1311
Phone(402) 763-9015
Fax(402) 885-7683
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2016
Enumeration DateOctober 5, 2016
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1124578836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NE · 1898
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
12313 GOLD ST, Omaha, NE 68144
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shane Smith Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759722150
PECOS Enrollment IDI20240516001844

Medicare Billing Reassignment

Medicare enrollment records show Shane Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family First Chiropractic L.L.C
4.8 mi
Chiropractor
18025 OAK ST. SUITE A
Omaha, NE 68130
  • Reassigned Medicare billing, Nebraska enrollment
  • 3 clinicians in this Medicare group
NPI 1497975775 (402) 884-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
212 services15 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEAN SMITH DC
Chiropractor
12313 GOLD ST
OMAHA, NE 68144
Douglas County (402) 763-9015
ORIGEN HEALTHCARE LLC
Nurse Practitioner (Psychiatric/Mental Health)
12313 GOLD ST
OMAHA, NE 68144
Douglas County (402) 680-1802
RYAN L. VILLWOK, D.C, P.C.
Chiropractor
12313 GOLD ST
OMAHA, NE 68144
Douglas County (402) 334-1200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Smith's NPI number?

The NPI number for Shane Smith is 1124578836. It was assigned to this individual provider in the NPPES registry on October 5, 2016.

Where is Shane Smith located?

Shane Smith practices at 12313 Gold St, Omaha, NE 68144. The listed phone number is (402) 763-9015.

What is Shane Smith's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Shane Smith enrolled in Medicare?

Yes. Shane Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shane Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Smith reassigns Medicare benefits to Family First Chiropractic L.L.C (Omaha, NE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shane Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shane Smith was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.