Individual provider Active NPI

Andrew Michael Smith, DC

  • Chiropractor
  • Parsippany, NJ
National Provider Identifier
1255426995
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00425100 Issued in NJ
Practice address
2200 Route 10
Suite 109
Parsippany, NJ 07054-5304
Phone
(973) 538-5433
Fax
(973) 538-3388
NPI assigned
Oct 4, 2006
Last updated
Jul 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC004927L PA
Chiropractor 111N00000X 38MC00425100 NJ Primary
Chiropractor 111N00000X 70006923 NY

Addresses

Primary practice location

2200 Route 10
Suite 109
Parsippany, NJ 07054-5304

Mailing address

2200 Route 10
Suite 109
Parsippany, NJ 07054-5304
Phone (973) 538-5433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100122000228 NJ Practitioner - Chiropractic 0042352486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Broadway
Denville, NJ 07834-2856
Phone (973) 627-1111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00425100NJMDChiropractor
70006923NYMDChiropractor
DC004927LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Denville Chiropractic Associates, LLC. Chiropractor CurrentSince Oct 20, 2010 Accepting new patients
Second Avenue Chiropractic, LLC Current Accepting new patients

Locations

10 Broadway
Denville, NJ 07834
Phone (973) 377-8950

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1255426995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 ROUTE 10",
            "address_2": "SUITE 109",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070545304",
            "telephone_number": "973-538-5433",
            "fax_number": "973-538-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 ROUTE 10",
            "address_2": "SUITE 109",
            "city": "PARSIPPANY",
            "state": "NJ",
            "postal_code": "070545304",
            "telephone_number": "973-538-5433",
            "fax_number": "973-538-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC004927L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00425100",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "70006923",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parsippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.