Timothy Lawrence Smykal, DC, FACO, CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3243 Issued in WI

Practice address

N96W18743 County Line Rd
Suite E
Menomonee Falls, WI 53051-7100

Phone

(262) 253-6779

Fax

(262) 253-6849

NPI assigned

Jul 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Columbia St Marys Hospital Milwaukee IncGroup PAC ID 5890604722, 311 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Columbia St. Mary'S Hospital Milwaukee, Inc

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1023064482
  Medicare reassignment Care Compare group NPD
• Columbia St. Mary'S Hospital Milwaukee Inc

  • Psychiatric Hospital Unit
  • Mequon, WI
  • NPI 1417600909
  NPD

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

{
    "created_epoch": "1121558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1619976263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N96W18743 COUNTY LINE RD",
            "address_2": "SUITE E",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517100",
            "telephone_number": "262-253-6779",
            "fax_number": "262-253-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N96W18743 COUNTY LINE RD",
            "address_2": "SUITE E",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517100",
            "telephone_number": "262-253-6779",
            "fax_number": "262-253-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYKAL",
        "first_name": "TIMOTHY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DC, FACO, CCSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-17",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3243",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WI",
            "license": "3243",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WI",
            "license": "3243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38888200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas S Smith, MD
• Linda Sue Smith, APNP
• Tabarius Smith, PHARMD
• Teresa Smith
• Whitnee Smith, LPC
• Russell Robert Sobotta, R.PH., MBA
• Audrey Socha, PHARMD
• Manila Sodhi, MD
• Rochelle A Sohl, MD
• Deborah Lynn Sokolowski, MS, LPC, SAC-IT

• Chiropractor in Menomonee Falls, WI
• Providers in Menomonee Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.