Smith Chiropractic Office S.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

1784-012 Issued in WI

Legal business name

SMITH CHIROPRACTIC OFFICE S.C.

Practice address

22230 75TH St
Salem, WI 53168-9465

Phone

(262) 843-3013

Fax

(262) 843-2427

NPI assigned

Feb 15, 2008

Last updated

Feb 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bradley James Smith, D.C.NPI 1366582512

Title

Owner/Doctor

Phone

(262) 843-3013

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley J. Smith, D.C.

  • Chiropractor
  • Salem, WI
  • NPI 1366582512
  Medicare reassignment NPD Authorized official
• David John Gorsuch, D.C.

  • Chiropractor
  • Salem, WI
  • NPI 1861512741
  NPD (past)
• James G Cross, DC

  • Chiropractor
  • Mundelein, IL
  • NPI 1093881724
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1194993790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22230 75TH ST",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689465",
            "telephone_number": "262-843-3013",
            "fax_number": "262-843-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22230 75TH ST",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689465",
            "telephone_number": "262-843-3013",
            "fax_number": "262-843-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC OFFICE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "262-843-3013",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WI",
            "license": "1784-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Shufelt, OTR
• Dwight Simmons, DDS
• Sarah Singleton, MA, CCC/SLP
• Adam Slade
• Brittany Smart, DPT
• Bradley J. Smith, D.C.
• Jocelyn Smith, RD, CD
• SNF Care Inc
• Jeffrey L Sorensen, DDS
• Sports Physical Therapy & Rehab Specialist SC

• Clinic/Center in Salem, WI
• Providers in Salem, WI by specialty
• Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.