Individual provider Active NPI

Henry Smaltz, DC

  • Chiropractor
  • Bloomington, IN
National Provider Identifier
1902474943
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003231A Issued in IN
Practice address
565 N Walnut St
Bloomington, IN 47404-3896
Phone
(812) 336-2423
Fax
(812) 331-2792
NPI assigned
Jun 16, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08003231A IN Primary

Addresses

Primary practice location

565 N Walnut St
Bloomington, IN 47404-3896

Mailing address

565 N Walnut St
Bloomington, IN 47404-3896
Phone (812) 336-2423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210618000182 IN Practitioner - Chiropractic 0345640991 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08003231AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Drummond Chiropractic LLC Chiropractor CurrentSince Jun 7, 2021 Accepting new patients

Locations

565 N Walnut St
Ofc A
Bloomington, IN 47404
Phone (812) 336-2423

4712 E State Road 46
Bloomington, IN 47401
Phone (812) 336-2423

Organizations & group practices 1

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": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1902474943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043896",
            "telephone_number": "812-336-2423",
            "fax_number": "812-331-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 N WALNUT ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043896",
            "telephone_number": "812-336-2423",
            "fax_number": "812-331-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALTZ",
        "first_name": "HENRY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-16",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08003231A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.