Active NPI
Mark D Smith, DC
- Chiropractor
- Matawan, NJ
National Provider Identifier
1225183536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2489
- Practice address
- 114 Rte 34
Matawan, NJ 07747-2132 - Phone
- (732) 727-2477
- Fax
- (732) 727-0744
- NPI assigned
- Jan 24, 2007
- Last updated
- Feb 28, 2008
- Sex
- Male
- 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 | 2489 | NJ | Primary |
Addresses
Primary practice location
114 Rte 34
Matawan, NJ 07747-2132
Mailing address
114 Rte 34
Matawan, NJ 07747-2132
Phone (732) 727-2477
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2489 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1225183536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 RTE 34",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077472132",
"telephone_number": "732-727-2477",
"fax_number": "732-727-0744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 RTE 34",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077472132",
"telephone_number": "732-727-2477",
"fax_number": "732-727-0744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MARK",
"middle_name": "D",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "2489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.