Individual provider Active NPI

Kristen N Smith-Page, D.C.

  • Chiropractor
  • Sugarloaf, PA
National Provider Identifier
1891995684
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC009811 Issued in PA
Practice address
298 Rock Glen Rd
Sugarloaf, PA 18249-3211
Phone
(570) 708-2228
Fax
(570) 708-2039
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC009811 PA Primary

Addresses

Primary practice location

298 Rock Glen Rd
Sugarloaf, PA 18249-3211

Mailing address

298 Rock Glen Rd
Sugarloaf, PA 18249-3211
Phone (570) 708-2228

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

State licenses

LicenseStateTypeSpecialty
DC009811PAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
De Jesus Wellness Group, P.C Chiropractor PastSince Jan 4, 1990 Accepting new patients
Rowena de Jesus Family Chiropractic Chiropractor Past Accepting new patients

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184889600000",
    "number": "1891995684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 ROCK GLEN RD",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182493211",
            "telephone_number": "570-708-2228",
            "fax_number": "570-708-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 ROCK GLEN RD",
            "city": "SUGARLOAF",
            "state": "PA",
            "postal_code": "182493211",
            "telephone_number": "570-708-2228",
            "fax_number": "570-708-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-PAGE",
        "first_name": "KRISTEN",
        "middle_name": "N",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugarloaf, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.