Individual provider Active NPI

Brian Joseph Smith, D.C.

  • Chiropractor
  • Waterford, MI
National Provider Identifier
1891874111
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301008326 Issued in MI
Practice address
5659 Dixie Hwy
Waterford, MI 48329-1619
Phone
(248) 623-6200
Fax
(248) 623-6886
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008326 MI Primary

Addresses

Primary practice location

5659 Dixie Hwy
Waterford, MI 48329-1619

Mailing address

5659 Dixie Hwy
Waterford, MI 48329-1619
Phone (248) 623-6200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505000708 MI Practitioner - Chiropractic 3173510690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rogers Chiropractic Center PCGroup PAC ID 4486737764, 2 clinicians

Practice addresses (Care Compare)

5659 Dixie Hwy
Waterford, MI 48329-1619
Phone (248) 623-6200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Chiropractic Center PC Chiropractor CurrentSince Aug 31, 2013 Accepting new patients
Clarkston Chiropractic Clinic P.C. Chiropractor PastSince Jan 7, 2004 Accepting new patients

Locations

5659 Dixie Hwy
Waterford, MI 48329
Phone (248) 623-6200

Organizations & group practices 2

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1891874111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291619",
            "telephone_number": "248-623-6200",
            "fax_number": "248-623-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 DIXIE HWY",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483291619",
            "telephone_number": "248-623-6200",
            "fax_number": "248-623-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BRIAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.