Active NPI
Jamie Marie Smoak, DC
- Chiropractor
- Ben Lomond, CA
National Provider Identifier
1194486449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34580
- Practice address
- 10090 Highway 9
Ben Lomond, CA 95005-9241 - Phone
- (831) 420-7980
- NPI assigned
- Jan 7, 2022
- Sex
- Female
- 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 | 34580 | CA | Primary |
Addresses
Primary practice location
10090 Highway 9
Ben Lomond, CA 95005-9241
Mailing address
10090 Highway 9 Ste 5
Ben Lomond, CA 95005-9251
Phone (831) 420-7980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34580 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1194486449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10090 HIGHWAY 9 STE 5",
"city": "BEN LOMOND",
"state": "CA",
"postal_code": "950059251",
"telephone_number": "831-420-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10090 HIGHWAY 9",
"city": "BEN LOMOND",
"state": "CA",
"postal_code": "950059241",
"telephone_number": "831-420-7980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMOAK",
"first_name": "JAMIE",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "34580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ben Lomond, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.