Individual provider Active NPI

Mark Joseph Smith, D.C.

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1326010687
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4887 Issued in KY
Practice address
3613 Lexington Rd
Louisville, KY 40207-2949
Phone
(502) 895-3831
Fax
(502) 895-9571
NPI assigned
Feb 2, 2006
Last updated
Mar 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4887 KY Primary

Addresses

Primary practice location

3613 Lexington Rd
Louisville, KY 40207-2949

Mailing address

3613 Lexington Rd
Louisville, KY 40207-2949
Phone (502) 895-3831

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041204000259 KY Practitioner - Chiropractic 3870559503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3613 Lexington Rd
Louisville, KY 40207-2949
Phone (502) 896-6171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Chiropractic, PLLC Chiropractor CurrentSince Jun 1, 2007 Accepting new patients
Dana C. O'Neil, D.C., P.S.C. Chiropractor PastSince Jul 7, 2003 Accepting new patients

Locations

225 Executive Park
Louisville, KY 40207
Phone (502) 895-3831

3613 Lexington Rd
Louisville, KY 40207
Phone (502) 896-6171

Organizations & group practices 2

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1326010687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 LEXINGTON RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072949",
            "telephone_number": "502-895-3831",
            "fax_number": "502-895-9571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 LEXINGTON RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402072949",
            "telephone_number": "502-895-3831",
            "fax_number": "502-895-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "4887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.