Individual provider Active NPI

Dominic Smorra, DC

  • Chiropractor
  • Caldwell, NJ
National Provider Identifier
1699849810
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC04576 Issued in NJ
Practice address
18 Ward PL
Caldwell, NJ 07006-5008
Phone
(973) 226-3321
Fax
(973) 226-6654
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC04576 NJ Primary

Addresses

Primary practice location

18 Ward PL
Caldwell, NJ 07006-5008

Mailing address

18 Ward PL
Caldwell, NJ 07006-5008
Phone (973) 226-3321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110517000640 NJ Practitioner - Chiropractic 2365628815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

459 Passaic Ave
West Caldwell, NJ 07006-7457
Phone (973) 276-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC04576NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dominic Smorra,D.C.,P.a. Chiropractor CurrentSince Sep 1, 1994 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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1699849810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WARD PL",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065008",
            "telephone_number": "973-226-3321",
            "fax_number": "973-226-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WARD PL",
            "city": "CALDWELL",
            "state": "NJ",
            "postal_code": "070065008",
            "telephone_number": "973-226-3321",
            "fax_number": "973-226-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMORRA",
        "first_name": "DOMINIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.