Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacob Glen Smith, DC

Individual provider Chiropractor · NPI 1255790788

Dr. Jacob Glen Smith, DC is a Chiropractic in Green River, Wyoming. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
11
Licensed in
WY
In the registry since
2016
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

107 Commerce Dr Ste A
Green River, WY 82935-6179
Phone: (307) 871-4411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 761 (WY)

Record details

NPI number1255790788
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedFebruary 11, 2016
Last updated in NPPESJune 6, 2016
Mailing address107 Commerce Dr, Suite A, Green River, WY 82935-6179

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green River