NPIMap

Organization Active NPI

Robert M Smith DC PC

Doing business as Chiropractic Whole Health

  • Chiropractor
  • Easton, PA
National Provider Identifier
1619299625
Registry record updated Feb 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC007400L Issued in PA
Legal business name
ROBERT M SMITH DC PC
Doing business as
Chiropractic Whole Health
Practice address
3413 Sullivan TRL
Easton, PA 18040-7642
Phone
(610) 438-2015
Fax
(610) 438-2016
NPI assigned
Feb 17, 2010
Last updated
Feb 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2010

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

Authorized official

Name
Robert M Smith, DCNPI 1245200930
Title
President/Owner
Phone
(610) 438-2015

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC007400L PA Primary

Addresses

Primary practice location

3413 Sullivan TRL
Easton, PA 18040-7642

Mailing address

3413 Sullivan TRL
Easton, PA 18040-7642
Phone (610) 438-2015

Other identifiers 15

IdentifierTypeStateIssuer
0018774340002MedicaidPA
02726200OtherCAPITAL BLUE CROSS
0830943000OtherKHPE/PERS CHOICE/B
23-3009-371OtherUNITED/PRIVATE/DEVON
2282278OtherAETNA
5897870OtherGHI
000489080OtherBC/BS ASSIGNMENT
0089992000OtherKHPE/PERS CHOICE/B
3354341OtherCIGNA
3Y2380OtherLANDMARK HEALTH NET
P2821922OtherOXFORD HEALTH
1032114OtherASHN
1813282OtherFIRST HEALTH
447411OtherBS PROVIDER
P00351498OtherRAILROAD MEDICINE

Other names 1

  • Chiropractic Whole Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110628000836 PA Part B Supplier - Clinic/Group Practice 7810175510 Receives reassigned benefits from 3 practitioners
Practice locations: Easton, PA

National Provider Directory

National Provider Directory

Locations

3413 Sullivan Trl
Easton, PA 18040
Phone (610) 258-6116

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1619299625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3413 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407642",
            "telephone_number": "610-438-2015",
            "fax_number": "610-438-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407642",
            "telephone_number": "610-438-2015",
            "fax_number": "610-438-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M SMITH DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "610-438-2015",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC007400L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018774340002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02726200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE/PERS CHOICE/B",
            "identifier": "0830943000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED/PRIVATE/DEVON",
            "identifier": "23-3009-371",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2282278",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5897870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ASSIGNMENT",
            "identifier": "000489080",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KHPE/PERS CHOICE/B",
            "identifier": "0089992000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3354341",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK HEALTH NET",
            "identifier": "3Y2380",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "P2821922",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHN",
            "identifier": "1032114",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1813282",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS PROVIDER",
            "identifier": "447411",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICINE",
            "identifier": "P00351498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Whole Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.