Individual provider Active NPI

Sarah Ann Smasal, D.C.

  • Chiropractor
  • Wauwatosa, WI
National Provider Identifier
1154375194
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4101-012 Issued in WI
Practice address
2900 N 117TH St
Wauwatosa, WI 53222-4106
Phone
(414) 774-6757
Fax
(414) 774-6734
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4101-012 WI Primary

Addresses

Primary practice location

2900 N 117TH St
Wauwatosa, WI 53222-4106

Mailing address

2900 N 117TH St
Wauwatosa, WI 53222-4106
Phone (414) 774-6757

Other identifiers 2

IdentifierTypeStateIssuer
203986329015OtherWIBCBS
7834662OtherWIAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000854 WI Practitioner - Chiropractic 7517905987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2900 N 117TH St
Wauwatosa, WI 53222-4106
Phone (414) 774-6757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4101WIMDClinical Social Worker
4101-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Smasal Family Chiropractic, LLC Chiropractor CurrentSince Jan 1, 2006 Accepting new patients

Locations

2900 N 117th St
Wauwatosa, WI 53222
Phone (262) 375-1075

7216 W North Ave
Ste 100
Wauwatosa, WI 53213

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1154375194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N 117TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224106",
            "telephone_number": "414-774-6757",
            "fax_number": "414-774-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N 117TH ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532224106",
            "telephone_number": "414-774-6757",
            "fax_number": "414-774-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMASAL",
        "first_name": "SARAH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4101-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "203986329015",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7834662",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.