Michael William Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4457 Issued in MN

Practice address

266 33Rd Ave S
Suite 7
Saint Cloud, MN 56301

Phone

(320) 230-7246

Fax

(320) 230-7256

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael W. Smith D.C. LTD

  • Chiropractor
  • Saint Cloud, MN
  • NPI 1942490545
  NPD (past) Authorized official
• Big Lake Spine & Sport, PA

  dba Great River Spine & Sport

  • Chiropractor
  • Monticello, MN
  • NPI 1295747889
  NPD (past)
• Integrated Care Clinics, PA

  dba Great River Spine & Sport

  • Physical Therapist
  • Monticello, MN
  • NPI 1396775110
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1619046141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 33RD AVE S",
            "address_2": "SUITE 7",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563013786",
            "telephone_number": "320-230-7246",
            "fax_number": "320-230-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 33RD AVE S",
            "address_2": "SUITE 7",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "56301",
            "telephone_number": "320-230-7246",
            "fax_number": "320-230-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "606K6SM",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James M Smith, MD
• Kevin B. Smith
• Lisa Marie Smith
• Logan Andrew Smith
• Maryellen T Smith, CPNP
• Nicole Amber Smith, RD
• Nyeire Smith
• Rhian Cailin Smith
• Susan Edna Smith, MSW, LICSW
• Heather Ann Smoley, LICSW

• Chiropractor in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.