Individual provider Active NPI

Sarah C Smirnova, D.C.

  • Chiropractor
  • Ann Arbor, MI
National Provider Identifier
1639438278
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009951 Issued in MI
Practice address
6360 Jackson Rd Ste F
Ann Arbor, MI 48103-9597
Phone
(734) 369-9990
Fax
(346) 610-7847
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009951 MI Primary

Addresses

Primary practice location

6360 Jackson Rd Ste F
Ann Arbor, MI 48103-9597

Mailing address

6360 Jackson Rd Ste F
Ann Arbor, MI 48103-9597
Phone (734) 369-9990

Other names 1

  • Sarah C Couet Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
3 Dimensional Physical Therapy, LLC PastSince Feb 20, 2019 Accepting new patients

Organizations & group practices 1

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": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1639438278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 JACKSON RD STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039597",
            "telephone_number": "734-369-9990",
            "fax_number": "734-661-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 JACKSON RD STE F",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039597",
            "telephone_number": "734-369-9990",
            "fax_number": "346-610-7847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIRNOVA",
        "first_name": "SARAH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "COUET",
            "middle_name": "C",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.