Organization Active NPI

Michael W. Smith D.C. LTD

  • Chiropractor
  • Saint Cloud, MN
National Provider Identifier
1942490545
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MICHAEL W. SMITH D.C. LTD
Practice address
266 33Rd Ave S Ste 7
Saint Cloud, MN 56301-4685
Phone
(320) 230-7246
Fax
(320) 230-7256
NPI assigned
Jul 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Michael William Smith, D.C.NPI 1619046141
Title
President/Chiropractor
Phone
(320) 230-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

266 33Rd Ave S Ste 7
Saint Cloud, MN 56301-4685

Mailing address

266 33Rd Ave S Ste 7
Saint Cloud, MN 56301-4685
Phone (320) 230-7246

Other identifiers 2

IdentifierTypeStateIssuer
606K6SMOtherMNBC/BS
P00355696OtherMNMEDICARE RAIL ROAD

National Provider Directory

National Provider Directory

Locations

266 33rd Ave S
Ste 7
Saint Cloud, MN 56301
Phone (320) 230-7246

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1942490545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 33RD AVE S STE 7",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014685",
            "telephone_number": "320-230-7246",
            "fax_number": "320-230-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266 33RD AVE S STE 7",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014685",
            "telephone_number": "320-230-7246",
            "fax_number": "320-230-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. SMITH D.C. LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "320-230-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "606K6SM",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAIL ROAD",
            "identifier": "P00355696",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.