Individual provider Active NPI

Brandon Smolarek, DC

  • Chiropractor
  • Shrewsbury, MA
National Provider Identifier
1003431339
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3694 Issued in MA
Practice address
415 Boston Tpke Ste 201
Shrewsbury, MA 01545-3414
Phone
(586) 601-6783
NPI assigned
Jun 12, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3694 MA Primary

Addresses

Primary practice location

415 Boston Tpke Ste 201
Shrewsbury, MA 01545-3414

Mailing address

415 Boston Tpke Ste 201
Shrewsbury, MA 01545-3414
Phone (888) 926-1223

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL www.kareo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210806002198 MA Practitioner - Chiropractic 6901215631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 Boston Tpke
Suite 201
Shrewsbury, MA 01545-3414
Phone (888) 548-8716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Health Clinics of Shrewsbury LLC Chiropractor CurrentSince Jul 1, 2021 Accepting new patients

Locations

415 Boston Tpke
Ste 210
Shrewsbury, MA 01545
Phone (508) 257-1224

415 Boston Tpke
Ste 201
Shrewsbury, MA 01545
Phone (201) 962-9066

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1003431339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BOSTON TPKE STE 201",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453414",
            "telephone_number": "888-926-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 BOSTON TPKE STE 201",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453414",
            "telephone_number": "586-601-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLAREK",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-12",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.kareo.com",
            "affiliation": "N",
            "address_1": "415 Boston Tpke Ste 201",
            "city": "Shrewsbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "015453414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.