Individual provider Active NPI

Shawn Michael Smolinski, L.AC, DIPL. OM

  • Acupuncturist
  • Santa Cruz, CA
National Provider Identifier
1891939054
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
12547 Issued in CA
Practice address
740 Front St
Ste 318
Santa Cruz, CA 95060-4535
Phone
(831) 334-5971
Fax
(831) 471-8064
NPI assigned
Apr 30, 2009
Last updated
Feb 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 12547 CA Primary

Addresses

Primary practice location

740 Front St
Ste 318
Santa Cruz, CA 95060-4535

Mailing address

740 Front St
Ste 318
Santa Cruz, CA 95060-4535
Phone (831) 334-5971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1891939054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 FRONT ST",
            "address_2": "STE 318",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604535",
            "telephone_number": "831-334-5971",
            "fax_number": "831-471-8064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FRONT ST",
            "address_2": "STE 318",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604535",
            "telephone_number": "831-334-5971",
            "fax_number": "831-471-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLINSKI",
        "first_name": "SHAWN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "L.AC, DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.