Individual provider Active NPI

Joni Marie Smith, D.C.

  • Chiropractor
  • Lincoln, NE
National Provider Identifier
1780729459
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1290 Issued in NE
Practice address
4701 Old Cheney Rd Ste C
Lincoln, NE 68516-4696
Phone
(402) 420-0440
Fax
(402) 420-0443
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1290 NE Primary

Addresses

Primary practice location

4701 Old Cheney Rd Ste C
Lincoln, NE 68516-4696

Mailing address

4141 Pioneer Woods Dr Ste 116
Lincoln, NE 68506-7569
Phone (402) 420-0440

Other identifiers 1

IdentifierTypeStateIssuer
100252756-00MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050822000571 NE Practitioner - Chiropractic 4486684412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Active Life Family Chiropractic PCGroup PAC ID 2961432992, 6 clinicians

Practice addresses (Care Compare)

4141 Pioneer Woods Dr
Suite 116
Lincoln, NE 68506-7569
Phone (402) 420-0440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1290NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Active Life Family Chiropractic, P.C. Chiropractor CurrentSince Aug 1, 2005 Accepting new patients

Locations

4701 Old Cheney Rd
Ste C
Lincoln, NE 68516
Phone (402) 420-0440

2555 Kensington Dr
Lincoln, NE 68521
Phone (402) 420-0440

4141 Pioneer Woods Dr
Ste 116
Lincoln, NE 68506
Phone (402) 420-0440

8244 Northern Lights Dr
Ste 106
Lincoln, NE 68505
Phone (402) 420-0440

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1780729459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 PIONEER WOODS DR STE 116",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067569",
            "telephone_number": "402-420-0440",
            "fax_number": "402-420-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OLD CHENEY RD STE C",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164696",
            "telephone_number": "402-420-0440",
            "fax_number": "402-420-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JONI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252756-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.