Individual provider Active NPI

Jeffrey Avery Smith, D.C.

  • Chiropractor
  • Framingham, MA
National Provider Identifier
1215045075
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
658 Issued in MA
Practice address
157 Pearl St
Framingham, MA 01702-8234
Phone
(508) 875-4086
Fax
(508) 620-1492
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 658 MA Primary

Addresses

Primary practice location

157 Pearl St
Framingham, MA 01702-8234

Mailing address

157 Pearl Street
Framingham, MA 01702-8234
Phone (508) 875-4086

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000206 MA Practitioner - Chiropractic 0941210355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1982
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

157 Pearl St
Framingham, MA 01702-8234

157 Pearl St
Framingham, MA 01702-8279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
658MAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Beauty and Health Acupuncture CurrentSince Mar 4, 2021 Accepting new patients
Whole Beauty and Health Acupuncture Past Accepting new patients

Locations

63 Fountain St
Ste 201
Framingham, MA 01702
Phone (413) 277-3115

1253 Worcester Rd
Ste 304
Framingham, MA 01701
Phone (413) 277-3115

Organizations & group practices 2

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215045075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 PEARL STREET",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028234",
            "telephone_number": "508-875-4086",
            "fax_number": "508-620-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 PEARL ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017028234",
            "telephone_number": "508-875-4086",
            "fax_number": "508-620-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEFFREY",
        "middle_name": "AVERY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.