Individual provider Active NPI

Ivan Tayler Smeltzer, DC

  • Rehabilitation Chiropractor
  • Bloomington, IN
National Provider Identifier
1528925211
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
08003566A Issued in IN
Practice address
417 S Clarizz Blvd
Bloomington, IN 47401-5517
Phone
(812) 323-7432
Fax
(812) 323-7437
NPI assigned
Jan 6, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 08003566A IN Primary

Addresses

Primary practice location

417 S Clarizz Blvd
Bloomington, IN 47401-5517

Mailing address

417 S Clarizz Blvd
Bloomington, IN 47401-5517
Phone (812) 323-7432

Other practice location 1

1569 S Piazza Dr
Bloomington, IN 47401-5578
Phone (812) 822-0127 ext. 812

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@bloomingtonsportsandwellness.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
08003566AINMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomington Sports and Wellness PastSince Aug 26, 2024 Accepting new patients

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": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1528925211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S CLARIZZ BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015517",
            "telephone_number": "812-323-7432",
            "fax_number": "812-323-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S CLARIZZ BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474015517",
            "telephone_number": "812-323-7432",
            "fax_number": "812-323-7437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1569 S Piazza Dr",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474015578",
            "country_code": "US",
            "telephone_number": "812-822-0127 x812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMELTZER",
        "first_name": "IVAN",
        "middle_name": "TAYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IN",
            "license": "08003566A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@bloomingtonsportsandwellness.com",
            "affiliation": "N",
            "address_1": "417 S Clarizz Blvd",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474015517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.