Organization Active NPI

Matt E. Smith Chiropractic PLLC

  • Chiropractor
  • Saratoga Springs, NY
National Provider Identifier
1487048856
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0046181 Issued in NY
Legal business name
MATT E. SMITH CHIROPRACTIC PLLC
Practice address
3303 Route 9
Saratoga Springs, NY 12866-6230
Phone
(518) 587-2064
NPI assigned
Mar 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. Matt E Smith, DCNPI 1932182045
Title
Member
Phone
(518) 587-2064

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 X0046181 NY Primary

Addresses

Primary practice location

3303 Route 9
Saratoga Springs, NY 12866-6230

Mailing address

3303 Route 9
Saratoga Springs, NY 12866-6230
Phone (518) 587-2064

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150512000334 NY Part B Supplier - Clinic/Group Practice 8527387646 Receives reassigned benefits from 2 practitioners
Practice locations: Saratoga Springs, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1487048856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 ROUTE 9",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666230",
            "telephone_number": "518-587-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ROUTE 9",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666230",
            "telephone_number": "518-587-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATT E. SMITH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "518-587-2064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0046181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.