Amanda Smith, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7088 Issued in MN

Practice address

12265 Central Ave NE Ste 108
Blaine, MN 55434-3998

Phone

(763) 757-8511

Fax

(763) 757-0140

NPI assigned

Mar 13, 2023

Sex

Female

Sole proprietor

Yes

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 MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Open Heart Chiropractic PAGroup PAC ID 4284098591, 2 clinicians

Affordable Chiropractic Center PAGroup PAC ID 1254418387, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Open Heart Chiropractic PA

  • Chiropractor
  • Blaine, MN
  • NPI 1811687015
  Medicare reassignment Care Compare group NPD
• Affordable Chiropractic Center, P.a.

  • Chiropractor
  • Shoreview, MN
  • NPI 1639208739
  Medicare reassignment Care Compare group
• Opp Family Chiropractic P.a.

  • Chiropractor
  • Saint Francis, MN
  • NPI 1982890810
  Medicare reassignment NPD

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1871294488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12265 CENTRAL AVE NE STE 108",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343998",
            "telephone_number": "763-757-8511",
            "fax_number": "763-757-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12265 CENTRAL AVE NE STE 108",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343998",
            "telephone_number": "763-757-8511",
            "fax_number": "763-757-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Sinnen, PA-C
• Megan Marie Sis, OD, MS, FAAO
• Sisters Supportive Living LLC
• Stephen Sitrin, M.D.
• Skills Enrichment Services Inc
• Princess Manny Smith
• Jonathan Raphael Snitzer, MD
• Snyders Drug
• Trang Thi Thuy Son
• Soul Work Counseling, LLC

• Chiropractor in Blaine, MN
• Providers in Blaine, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.