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DR. SHANE SMITH D.C.
NPI 1821177197
Chiropractor in Newington, CT

Active since November 06, 2006
2301 BERLIN TPKE, NEWINGTON, CT 06111(860) 667-8334(860) 760-6456 Get Directions Write a Review

NPPES record last updated: November 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shane Smith D.c. NPPES

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

DR. SHANE SMITH D.C. (NPI 1821177197) is an individual chiropractor in Newington, Connecticut, licensed in Connecticut (001553) and active in the NPI registry since November 2006. He is a graduate of Palmer College Chiropractic - Davenport (2003).

NPPES Registry Identity

NPI1821177197
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. SHANE SMITHCredential: D.C.
Location Address2301 BERLIN TPKENewington, CT 06111-3206
Mailing Address2301 Berlin TpkeNewington, CT 06111-3206 · (860) 667-8334 · Fax (860) 760-6456
Phone(860) 667-8334
Fax(860) 760-6456
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2003
Enumeration DateNovember 6, 2006
Last NPPES UpdateNovember 24, 2012
✔ NPI 1821177197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CT · 001553
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.
2301 BERLIN TPKE, Newington, CT 06111
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Other Identifiers 5

Medicare UPINV05204CT
Medicare ID-Type Unspecified350001407CT
Other050001553CT02CT · Bluecrossblueshield
Other3689845CT · Aetna
Other672541CT · Connecticare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID446294185
PECOS Enrollment IDI20050615000139

Other Providers at the Same Location NPPES 2

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

DR. CHRISTOPHER NATHANIEL TRELLI DC
Chiropractor
2301 BERLIN TPKE
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-8334
MODERN CHIROPRACTIC OF NEWINGTON LLC
Chiropractor
2301 BERLIN TPKE
NEWINGTON, CT 06111
Capitol Planning Region (860) 667-8334

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 1821177197. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Shane Smith located?

Shane Smith practices at 2301 Berlin Tpke, Newington, CT 06111. The listed phone number is (860) 667-8334.

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.

When was this NPI record last updated?

The NPPES record for Shane Smith was last updated on November 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.