Individual provider Active NPI

Jeffrey L Smith, D.C.

  • Chiropractor
  • Johnstown, PA
National Provider Identifier
1124150123
Registry record updated Oct 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007318L Issued in PA
Practice address
1837 Goucher Street
Suite 1
Johnstown, PA 15905-9506
Phone
(814) 255-7292
Fax
(814) 255-6742
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007318L PA Primary

Addresses

Primary practice location

1837 Goucher Street
Suite 1
Johnstown, PA 15905-9506

Mailing address

1837 Goucher Street
Suite 1
Johnstown, PA 15905-9506
Phone (814) 255-7292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121228000413 PA Practitioner - Chiropractic 7719130624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forest Hilltop Chiropractic Assoc.Group PAC ID 6103864657, 3 clinicians

Practice addresses (Care Compare)

1837 Goucher St
Suite 1
Johnstown, PA 15905-9506
Phone (814) 255-7292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Forest Hilltop Chiropractic Assoc. Chiropractor CurrentSince Nov 1, 2012 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

718 2nd St
Cresson, PA 16630
Phone (814) 886-9200

1837 Goucher St
Ste 1
Johnstown, PA 15905
Phone (814) 255-7292

Organizations & group practices 2

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318809600000",
    "number": "1124150123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1837 GOUCHER STREET",
            "address_2": "SUITE 1",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159059506",
            "telephone_number": "814-255-7292",
            "fax_number": "814-255-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1837 GOUCHER STREET",
            "address_2": "SUITE 1",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159059506",
            "telephone_number": "814-255-7292",
            "fax_number": "814-255-6742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007318L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.