Individual provider Active NPI

Riley J Smucker, DC

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1174482210
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10044 Issued in MT
Practice address
1519 S Reserve St
Missoula, MT 59801-4755
Phone
(406) 549-2006
Fax
(406) 549-6574
NPI assigned
Jan 15, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10044 MT Primary

Addresses

Primary practice location

1519 S Reserve St
Missoula, MT 59801-4755

Mailing address

1519 S Reserve St
Missoula, MT 59801-4755
Phone (406) 549-2006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260219003545 MT Practitioner - Chiropractic 9931680758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matz Family Chiropractic PCGroup PAC ID 3274663182, 11 clinicians

Practice addresses (Care Compare)

1519 S Reserve St
Missoula, MT 59801-4755
Phone (406) 549-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10044MTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matz Family Chiropractic, P.C. Chiropractor CurrentSince Feb 1, 2026 Accepting new patients

Locations

1519 S Reserve St
Missoula, MT 59801
Phone (406) 549-2006

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": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1174482210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014755",
            "telephone_number": "406-549-2006",
            "fax_number": "406-549-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598014755",
            "telephone_number": "406-549-2006",
            "fax_number": "406-549-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMUCKER",
        "first_name": "RILEY",
        "middle_name": "J",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "10044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; 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.