Active NPI
Moses Sarah Smith, D.C.
- Chiropractor
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4728
- Practice address
- 707 W 34TH St
Minneapolis, MN 55408-4138 - Phone
- (612) 824-1829
- Fax
- (612) 823-3808
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4728 | MN | Primary |
Addresses
Primary practice location
707 W 34TH St
Minneapolis, MN 55408-4138
Mailing address
707 W 34TH St
Minneapolis, MN 55408-4138
Phone (952) 250-4663
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 954603100 | Medicaid | MN | |
| 273P1AC | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3541 Lyndale Ave S
Minneapolis, MN 55408-4159
Phone (612) 824-1829
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4728 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Moses S M Smith Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Lucky Cat Acupuncture and Herbal Medicine | Past | Accepting new patients | |
| Steven D. Moe, Inc. | Chiropractor | Past | Accepting new patients |
| Moe Chiro Tres PLLC | Chiropractor | Past | Accepting new patients |
| Gilmore Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
Locations
6409 City West Pkwy
Eden Prairie, MN 55344
Phone (952) 250-4663
3541 Lyndale Ave S
Minneapolis, MN 55408
Phone (612) 824-1829
2415 Hennepin Ave
Minneapolis, MN 55405
Phone (612) 372-9133
707 W 34th St
Minneapolis, MN 55408
Phone (612) 327-0408
Organizations & group practices 5
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.
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- NPI 1295038008
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- NPI 1063054302
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- NPI 1205012861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260921600000",
"number": "1841372323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 W 34TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554084138",
"telephone_number": "952-250-4663",
"fax_number": "612-823-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 W 34TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554084138",
"telephone_number": "612-824-1829",
"fax_number": "612-823-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MOSES",
"middle_name": "SARAH",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2009-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "954603100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "273P1AC",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.