Michael A Smith, DC
Individual provider Active NPI Chiropractor · Quentin, PA
NPI 1164525788 · NPPES record last updated Aug 3, 2010
Key facts
- NPI
- 1164525788
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC005302L (PA)
- Practice address
- 80 Main St
Quentin, PA 17083 - Phone
- (717) 273-0002
- Fax
- (717) 273-7004
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111115000394 | PA | Practitioner - Chiropractic | 9739353442 | Practice locations: Quentin, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC005302L | PA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC005302L | PA | Yes |
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
Other providers in Quentin, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.