Organization Active NPI

Brent C Smola, PC

  • Chiropractor
  • Hannibal, MO
National Provider Identifier
1902090400
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2000152185 Issued in MO
Legal business name
BRENT C SMOLA, PC
Practice address
655 Clinic Rd
Ste. 205
Hannibal, MO 63401-3647
Phone
(573) 248-0258
Fax
(573) 248-0187
NPI assigned
Aug 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Dr. Brent C Smola, D.C.
Title
Owner
Phone
(573) 248-0258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2000152185 MO Primary

Addresses

Primary practice location

655 Clinic Rd
Ste. 205
Hannibal, MO 63401-3647

Mailing address

655 Clinic Rd
Ste. 205
Hannibal, MO 63401-3647

Other names 1

  • Smola Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

655 Clinic Rd
Ste 205
Hannibal, MO 63401
Phone (573) 248-0258

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1902090400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 CLINIC RD",
            "address_2": "STE. 205",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 CLINIC RD",
            "address_2": "STE. 205",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013647",
            "telephone_number": "573-248-0258",
            "fax_number": "573-248-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT C SMOLA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "SMOLA",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-248-0258",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000152185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smola Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.