Active NPI
Michael A Smith, DC
- Chiropractor
- Quentin, PA
National Provider Identifier
1164525788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC005302L
- Practice address
- 80 Main St
Quentin, PA 17083 - Phone
- (717) 273-0002
- Fax
- (717) 273-7004
- NPI assigned
- Sep 7, 2006
- Last updated
- Aug 3, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC005302L | PA | Primary |
Addresses
Primary practice location
80 Main St
Quentin, PA 17083
Mailing address
PO Box 1145
80 Main St
Quentin, PA 17083
Phone (717) 273-0002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111115000394 | PA | Practitioner - Chiropractic | 9739353442 | Practice locations: Quentin, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
80 Main St
Quentin, PA 17083
Phone (717) 273-0002
PO Box
Suite 1145
Quentin, PA 17083
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC005302L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1164525788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1145",
"address_2": "80 MAIN ST",
"city": "QUENTIN",
"state": "PA",
"postal_code": "17083",
"telephone_number": "717-273-0002",
"fax_number": "717-273-7004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 MAIN ST",
"city": "QUENTIN",
"state": "PA",
"postal_code": "17083",
"telephone_number": "717-273-0002",
"fax_number": "717-273-7004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC005302L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quentin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.