Individual provider Active NPI

Erin Spencer Smith, DC

  • Chiropractor
  • Mukwonago, WI
National Provider Identifier
1598873671
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3244 Issued in WI
Practice address
435 Rivercrest CT
Mukwonago, WI 53149-1759
Phone
(262) 363-9552
Fax
(262) 363-9556
NPI assigned
Aug 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3244 WI Primary

Addresses

Primary practice location

435 Rivercrest CT
Mukwonago, WI 53149-1759

Mailing address

435 Rivercrest Court
Mukwonago, WI 53149-1759
Phone (262) 363-9552

Other identifiers 1

IdentifierTypeStateIssuer
38971800MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110228000794 WI Practitioner - Chiropractic 6800844929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
May accept Medicare assignment
Group practices
Spencer Smith Chiropractic SCGroup PAC ID 2466400577, 2 clinicians

Practice addresses (Care Compare)

435 Rivercrest CT
Mukwonago, WI 53149-1759
Phone (262) 363-9552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3244WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer-Smith Chiropractic SC Chiropractor CurrentSince Jan 20, 1999 Accepting new patients
Perugini Chiropractic SC Chiropractor PastSince Feb 1, 2003 Accepting new patients

Locations

435 Rivercrest Ct
Mukwonago, WI 53149
Phone (262) 363-9552

Organizations & group practices 2

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1598873671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 RIVERCREST COURT",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491759",
            "telephone_number": "262-363-9552",
            "fax_number": "262-363-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 RIVERCREST CT",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531491759",
            "telephone_number": "262-363-9552",
            "fax_number": "262-363-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER SMITH",
        "first_name": "ERIN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38971800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mukwonago, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.