Brian C Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00410700 Issued in NJ

Practice address

703 Mill Creek Rd Ste C
Manahawkin, NJ 08050-3828

Phone

(609) 597-3111

Fax

(609) 597-5112

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1990

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Southern Ocean Chiropractic

  • Chiropractor
  • Manahawkin, NJ
  • NPI 1295869378
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1487672689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MILL CREEK RD STE C",
            "address_2": "PO BOX 1051",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503828",
            "telephone_number": "609-597-3111",
            "fax_number": "609-597-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MILL CREEK RD STE C",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503828",
            "telephone_number": "609-597-3111",
            "fax_number": "609-597-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00410700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "000732",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Sinnamon, LMHC
• Joy Ellen Montgomery Skelly, APN
• Cari-Lynn Oakley Skipper, MSW, LCSW
• Stephen J Skokan, D.P.M.
• Justin S Skolnick, D.O.
• Holly Smith
• Stephanie Lynne Smithman, LCSW
• Robbin Lee Sneddon, RN
• Inessa Soden III, OTR, CHT
• Frank A Soller, LDO

• Chiropractor in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.