Individual provider Active NPI

Joel E Smooke, D.C.

  • Chiropractor
  • Pittsburgh, PA
National Provider Identifier
1952426751
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-004209-L Issued in PA
Practice address
1154 Greenfield Ave
Pittsburgh, PA 15217-2958
Phone
(412) 422-4321
Fax
(412) 422-2896
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X DC-004209-L PA
Chiropractor 111N00000X DC-004209-L PA Primary

Addresses

Primary practice location

1154 Greenfield Ave
Pittsburgh, PA 15217-2958

Mailing address

4316 Saline St
Pittsburgh, PA 15217-2912
Phone (412) 422-9369

Other identifiers 2

IdentifierTypeStateIssuer
1209146MedicaidPA
1042090MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906000674 PA Practitioner - Chiropractic 1052607801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1154 Hazelwood Ave
Smooke Chiropractic Clinic PC
Pittsburgh, PA 15217-2958
Phone (412) 422-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-004209-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Smooke Chiropractic Clinic Inc Chiropractor CurrentSince Dec 21, 2011 Accepting new patients
Smooke Chiropractic Clinic Past Accepting new patients

Locations

828 Hazelwood Ave
Pittsburgh, PA 15217
Phone (412) 422-4321

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1952426751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 SALINE ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172912",
            "telephone_number": "412-422-9369",
            "fax_number": "412-422-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 GREENFIELD AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172958",
            "telephone_number": "412-422-4321",
            "fax_number": "412-422-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOOKE",
        "first_name": "JOEL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "PA",
            "license": "DC-004209-L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-004209-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1209146",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042090",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.