Organization Active NPI

John F Smarch DC PC

  • Chiropractor
  • Jackson, MI
National Provider Identifier
1174727341
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
JS007229 Issued in MI
Legal business name
JOHN F SMARCH DC PC
Practice address
300 W Washington Ave Ste 150
Jackson, MI 49201-2175
Phone
(517) 787-4513
Fax
(517) 787-6943
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Shannon Keezer
Title
Office Manager
Phone
(517) 787-4513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X JS007229 MI Primary

Addresses

Primary practice location

300 W Washington Ave Ste 150
Jackson, MI 49201-2175

Mailing address

300 W Washington Ave Ste 150
Jackson, MI 49201-2175
Phone (517) 787-4513

Other identifiers 2

IdentifierTypeStateIssuer
P00229475OtherMIRAILROAD MEDICARE
950C811280OtherMIBLUE CROSS BLUE SHEILD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050722000211 MI Part B Supplier - Clinic/Group Practice 2961439864 Receives reassigned benefits from 2 practitioners
Practice locations: Jackson, MI

National Provider Directory

National Provider Directory

Locations

1515 Greenwood Ave
Jackson, MI 49203
Phone (517) 787-4513

300 W Washington Ave
Ste 150
Jackson, MI 49201
Phone (517) 783-4664

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1174727341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON AVE STE 150",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012175",
            "telephone_number": "517-787-4513",
            "fax_number": "517-787-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W WASHINGTON AVE STE 150",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012175",
            "telephone_number": "517-787-4513",
            "fax_number": "517-787-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F SMARCH DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "KEEZER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-787-4513"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "JS007229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00229475",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "950C811280",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.