Provider Demographics
NPI:1164488599
Name:SMITH, DAVID DUANE (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:DUANE
Last Name:SMITH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 VIRGINIA LN
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23692-2781
Mailing Address - Country:US
Mailing Address - Phone:757-875-1272
Mailing Address - Fax:
Practice Address - Street 1:126 VIRGINIA LN
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23692-2781
Practice Address - Country:US
Practice Address - Phone:757-875-1272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557111111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor