Individual provider Active NPI

Seth Michael Smart, D.C.

  • Chiropractor
  • Brainerd, MN
National Provider Identifier
1295816486
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3804 Issued in MN
Practice address
19513 State Highway 371
Brainerd, MN 56401-7298
Phone
(218) 963-2944
Fax
(218) 963-0899
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3804 MN Primary

Addresses

Primary practice location

19513 State Highway 371
Brainerd, MN 56401-7298

Mailing address

PO Box 689
Nisswa, MN 56468-0689
Phone (218) 963-2944

Other identifiers 1

IdentifierTypeStateIssuer
173460100MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103001032 MN Practitioner - Chiropractic 5193919173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19513 State Hwy 371
Brainerd, MN 56401-7298
Phone (218) 963-2944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Redebaugh Chiropractic, P.a. Chiropractor CurrentSince Aug 10, 2003 Accepting new patients
Health First Chiropractic of Baxter Chiropractor Past Accepting new patients
Healthfirst Chiropractic Inc Chiropractor Past Accepting new patients

Locations

19513 State Highway 371
Brainerd, MN 56401
Phone (218) 963-2944

24314 Smiley Rd
Ste A
Nisswa, MN 56468
Phone (218) 963-2944

5314 Nisswa Ave
Nisswa, MN 56468
Phone (218) 963-2944

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1295816486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564680689",
            "telephone_number": "218-963-2944",
            "fax_number": "218-963-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19513 STATE HIGHWAY 371",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564017298",
            "telephone_number": "218-963-2944",
            "fax_number": "218-963-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "SETH",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173460100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.