Active NPI
Smooke Chiropractic Clinic Inc
- Chiropractor
- Pittsburgh, PA
National Provider Identifier
1295766004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004209L
- Legal business name
- SMOOKE CHIROPRACTIC CLINIC INC
- Practice address
- 828 Hazelwood Avenue
Pittsburgh, PA 15217 - Phone
- (412) 422-4321
- Fax
- (412) 422-2896
- NPI assigned
- Jul 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kerry W Smooke, SPOUSE
- Title
- Business MGR
- Phone
- (412) 422-4321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004209L | PA | Primary |
Addresses
Primary practice location
828 Hazelwood Avenue
Pittsburgh, PA 15217
Mailing address
828 Hazelwood Avenue
Pittsburgh, PA 15217
Phone (412) 422-4321
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8460650 | Other | PA | CIGNA |
| 1209146 | Medicaid | PA | |
| 1042090 | Medicaid | PA | |
| 4353872 | Other | PA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
828 Hazelwood Ave
Pittsburgh, PA 15217
Phone (412) 422-4321
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Pittsburgh, PA
- NPI 1952426751
-
- Chiropractor
- Pittsburgh, PA
- NPI 1710409362
-
- Rehabilitation Chiropractor
- Pittsburgh, PA
- NPI 1992187975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325116800000",
"number": "1295766004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 HAZELWOOD AVENUE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15217",
"telephone_number": "412-422-4321",
"fax_number": "412-422-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 HAZELWOOD AVENUE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15217",
"telephone_number": "412-422-4321",
"fax_number": "412-422-2896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMOOKE CHIROPRACTIC CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-06",
"last_updated": "2011-12-29",
"status": "A",
"authorized_official_last_name": "SMOOKE",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "BUSINESS MGR",
"authorized_official_telephone_number": "412-422-4321",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "SPOUSE"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004209L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8460650",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1209146",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1042090",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4353872",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.