NPIMap

Organization Active NPI

Jody Smith Chiropractic PLLC

Doing business as Jody Smith Chiropractic

  • Chiropractor
  • Port Huron, MI
National Provider Identifier
1356575351
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007994 Issued in MI
Legal business name
JODY SMITH CHIROPRACTIC PLLC
Doing business as
Jody Smith Chiropractic
Practice address
1009 Ontario Street
Port Huron, MI 48060-3729
Phone
(810) 966-1900
Fax
(810) 966-1901
NPI assigned
May 6, 2009
Last updated
Aug 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Dr. Jody N Smith, DCNPI 1093711061
Title
Chiropractor
Phone
(810) 966-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301007994 MI Primary

Addresses

Primary practice location

1009 Ontario Street
Port Huron, MI 48060-3729

Mailing address

1009 Ontario Street
Port Huron, MI 48060-3729
Phone (810) 966-1900

Other names 1

  • Jody Smith Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090618000222 MI Part B Supplier - Clinic/Group Practice 3274683925 Receives reassigned benefits from 2 practitioners
Practice locations: Port Huron, MI

National Provider Directory

National Provider Directory

Locations

2824 Stable Dr
Kimball, MI 48074
Phone (810) 966-1900

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1356575351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 ONTARIO STREET",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603729",
            "telephone_number": "810-966-1900",
            "fax_number": "810-966-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 ONTARIO STREET",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603729",
            "telephone_number": "810-966-1900",
            "fax_number": "810-966-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY SMITH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "810-966-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jody Smith Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.

Verify at the official NPI Registry.