Individual provider Active NPI

Kyle Smerglia, D.C.

  • Chiropractor
  • Cuyahoga Falls, OH
National Provider Identifier
1043669542
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4624 Issued in OH
Practice address
1821 Portage TRL
Cuyahoga Falls, OH 44223
Phone
(330) 928-2000
Fax
(330) 920-4287
NPI assigned
Jun 7, 2016
Last updated
Aug 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4624 OH Primary

Addresses

Primary practice location

1821 Portage TRL
Cuyahoga Falls, OH 44223

Mailing address

1821 Portage TRL
Cuyahoga Falls, OH 44223-1740
Phone (330) 928-2000

Other identifiers 1

IdentifierTypeStateIssuer
0264521MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161128000452 OH Practitioner - Chiropractic 7911286448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1821 Portage TRL
Cuyahoga Falls, OH 44223-1740
Phone (330) 928-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4624OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Smerglia Chiropractic L.L.C. Chiropractor CurrentSince Dec 1, 2016 Accepting new patients
Minorik Health and Wellness Center Inc CurrentSince Nov 1, 2016 Accepting new patients
Minorik Chiropractic Center Chiropractor PastSince Nov 1, 2016 Accepting new patients

Locations

2620 W Market St
Akron, OH 44313
Phone (330) 869-6566

1821 Portage Trl
Cuyahoga Fls, OH 44223
Phone (330) 923-3501

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1043669542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231740",
            "telephone_number": "330-928-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "44223",
            "telephone_number": "330-928-2000",
            "fax_number": "330-920-4287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMERGLIA",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264521",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; 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.