Individual provider Active NPI

Matt E Smith, DC

  • Chiropractor
  • Saratoga Springs, NY
National Provider Identifier
1932182045
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X0046181 Issued in NY
Practice address
3303 Route 9
Saratoga Springs, NY 12866-6205
Phone
(518) 587-2064
Fax
(518) 587-0850
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X0046181 NY Primary

Addresses

Primary practice location

3303 Route 9
Saratoga Springs, NY 12866-6205

Mailing address

3303 Route 9
Saratoga Springs, NY 12866-6205
Phone (518) 587-2064

Other identifiers 1

IdentifierTypeStateIssuer
X33141OtherNYEMPIRE BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110513000404 NY Practitioner - Chiropractic 1153507850 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0046181NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Matt E. Smith Chiropractic PLLC Chiropractor CurrentSince Apr 1, 2015 Accepting new patients
Tiny Sprouts Chiropractic PLLC PastSince Apr 1, 2015 Accepting new patients

Locations

3303 Route 9
Saratoga Springs, NY 12866
Phone (518) 587-2064

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436918400000",
    "number": "1932182045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 ROUTE 9",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666205",
            "telephone_number": "518-587-2064",
            "fax_number": "518-587-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 ROUTE 9",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666205",
            "telephone_number": "518-587-2064",
            "fax_number": "518-587-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MATT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2015-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0046181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "X33141",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.