Active NPI
Brent C Smola, PC
- Chiropractor
- Hannibal, MO
National Provider Identifier
1902090400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2000152185
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
National Provider Directory
National Provider DirectoryLocations
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.