Smith Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3693-012 Issued in WI

Legal business name

SMITH CHIROPRACTIC, LLC

Practice address

829 W Clairemont Ave
Eau Claire, WI 54701-6102

Phone

(715) 833-3505

Fax

(715) 833-8515

NPI assigned

Aug 24, 2011

Last updated

Aug 24, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emily Johanna Smith, DC, DICCPNPI 1093715278

Title

Owner

Phone

(715) 833-3505

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily J Smith, DC, DICCP

  • Chiropractor
  • Eau Claire, WI
  • NPI 1093715278
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1588944359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016102",
            "telephone_number": "715-833-3505",
            "fax_number": "715-833-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016102",
            "telephone_number": "715-833-3505",
            "fax_number": "715-833-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-833-3505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, DICCP"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3693-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38960000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smart Medical Services, SC
• Smart Scan Medical Imaging - Eau Claire, LLC
• Anton C Smets, PHD PSYD
• Smiles for Eau Claire County LLC
• Jeffrey A Smiskey, CADC III
• Erin L Smith-Schultz, MS, CCC-SLP
• Amy Nicole Smith, DNP, APNP, FNP-C
• Emily Smith, M.D.
• Emily J Smith, DC, DICCP
• Erik G Smith, PT

• Chiropractor in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.