Individual provider Active NPI

Joseph Smola, DC

  • Chiropractor
  • Novi, MI
National Provider Identifier
1477937944
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010271 Issued in MI
Practice address
42500 W 11 Mile Rd Ste B
Novi, MI 48375-1794
Phone
(248) 308-2434
NPI assigned
Jul 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010271 MI Primary

Addresses

Primary practice location

42500 W 11 Mile Rd Ste B
Novi, MI 48375-1794

Mailing address

42500 W 11 Mile Rd Ste B
Novi, MI 48375-1794
Phone (248) 308-2434

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150724011051 MI Practitioner - Chiropractic 5193038719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

42500 W 11 Mile Rd
Suite B
Novi, MI 48375-1794
Phone (248) 308-2434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010271MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Health Chiropractic LLC Chiropractor CurrentSince Jul 16, 2015 Accepting new patients

Locations

42500 W 11 Mile Rd
Ste B
Novi, MI 48375
Phone (248) 308-2434

48000 Grand River Ave
Novi, MI 48374
Phone (248) 308-5133

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.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1477937944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42500 W 11 MILE RD STE B",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751794",
            "telephone_number": "248-308-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42500 W 11 MILE RD STE B",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751794",
            "telephone_number": "248-308-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLA",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-15",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.