Active NPI
Robert Dennis Smith Jr., D.C.
- Chiropractor
- Toms River, NJ
National Provider Identifier
1407064116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC01394
- Practice address
- 1201 Route 37 E
Suite 3
Toms River, NJ 08753-5728 - Phone
- (732) 929-2333
- Fax
- (732) 929-2333
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | MC01394 | NJ | Primary |
Addresses
Primary practice location
1201 Route 37 E
Suite 3
Toms River, NJ 08753-5728
Mailing address
1201 Route 37 E
Suite 3
Toms River, NJ 08753-5728
Phone (732) 929-2333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051101000681 | NJ | Practitioner - Chiropractic | 7012934334 | Practice locations: Toms River, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC01394 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407064116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 ROUTE 37 E",
"address_2": "SUITE 3",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087535728",
"telephone_number": "732-929-2333",
"fax_number": "732-929-2333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 ROUTE 37 E",
"address_2": "SUITE 3",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087535728",
"telephone_number": "732-929-2333",
"fax_number": "732-929-2333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "ROBERT",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC01394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.