Active NPI
Michael Patrick Smith, D.C.
- Chiropractor
- Luverne, MN
National Provider Identifier
1376611079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4880
- Practice address
- 103 E Main St
Luverne, MN 56156-1830 - Phone
- (507) 283-2561
- Fax
- (507) 283-1831
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4880 | MN | Primary |
Addresses
Primary practice location
103 E Main St
Luverne, MN 56156-1830
Mailing address
809 W 2ND Ave
Flandreau, SD 57028-1020
Phone (605) 864-1148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070216000282 | MN | Practitioner - Chiropractic | 0345242376 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
103 E Main St
Luverne, MN 56156-1830
Phone (507) 283-2561
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4880 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock County Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
103 E Main St
Luverne, MN 56156
Phone (507) 283-2561
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.
-
- Chiropractor
- Luverne, MN
- NPI 1033281704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376611079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "809 W 2ND AVE",
"city": "FLANDREAU",
"state": "SD",
"postal_code": "570281020",
"telephone_number": "605-864-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E MAIN ST",
"city": "LUVERNE",
"state": "MN",
"postal_code": "561561830",
"telephone_number": "507-283-2561",
"fax_number": "507-283-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Julie Ann Sherman, CRNA
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- Sioux Valley Regional Health Services D.B.a Hospice of Sioux Valley Lu
- Southwestern Mental Health Center
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- Sarah Spartz
- Austin Spronk, M.D.
- State of Minnesota Minnesota Management and Budget
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.