Individual provider Active NPI

Michael Smallwood, DC

  • Chiropractor
  • Tinton Falls, NJ
National Provider Identifier
1265899215
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38M000731900 Issued in NJ
Practice address
4070 Asbury Ave
Tinton Falls, NJ 07753-8416
Phone
(732) 204-6448
NPI assigned
Jan 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38M000731900 NJ Primary

Addresses

Primary practice location

4070 Asbury Ave
Tinton Falls, NJ 07753-8416

Mailing address

4070 Asbury Ave
Tinton Falls, NJ 07753-8416
Phone (732) 204-6448

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

LicenseStateTypeSpecialty
38M000731900NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dolan Holdings LLC Chiropractor CurrentSince Oct 29, 2023 Accepting new patients

Locations

4070 Asbury Ave
Ste 5
Tinton Falls, NJ 07753
Phone (732) 204-6448

Organizations & group practices 1

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": "1453334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1265899215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 ASBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077538416",
            "telephone_number": "732-204-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 ASBURY AVE",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077538416",
            "telephone_number": "732-204-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38M000731900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.