Kevin P Smith, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00569800 Issued in NJ

Practice address

33 S Main St
Mullica Hill, NJ 08062-9402

Phone

(856) 223-5876

Fax

(856) 223-8615

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

University College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mullica Hill Chiropractic

  • Chiropractor
  • Mullica Hill, NJ
  • NPI 1770600520
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861589764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412",
            "address_2": "33 S. MAIN STREET",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080620412",
            "telephone_number": "856-223-5876",
            "fax_number": "856-223-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 S MAIN ST",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080629402",
            "telephone_number": "856-223-5876",
            "fax_number": "856-223-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KEVIN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00569800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katerina Eleni Skedros
• Connor Skilton
• Katherine Skinner, ATC
• Corey Smigiel, DMD
• Kenneth Smith Jr., DO
• Steven A. Sonsini, MSPT
• South Jersey Foot and Ankle Institute
• South Jersey Healthcare
• South Jersey Healthcare
• South Jersey Healthcare

• Chiropractor in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.