Individual provider Active NPI

Patrick Richard Smarch, DC

  • Chiropractor
  • Jackson, MI
National Provider Identifier
1962512731
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009356 Issued in MI
Practice address
1515 Greenwood Ave
Jackson, MI 49203-4047
Phone
(517) 787-4513
Fax
(517) 787-6943
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301009356 MI Primary

Addresses

Primary practice location

1515 Greenwood Ave
Jackson, MI 49203-4047

Mailing address

1515 Greenwood Ave
Jackson, MI 49203
Phone (517) 787-4513

Other identifiers 2

IdentifierTypeStateIssuer
SM1882117OtherPAHIGHMARK BLUE SHIELD
1016757360001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000695 MI Practitioner - Chiropractic 7810994399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John F Smarch DC PCGroup PAC ID 2961439864, 2 clinicians

Practice addresses (Care Compare)

300 W Washington Ave
Suite 150
Jackson, MI 49201-2175
Phone (517) 787-4513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301009356MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
John F Smarch DC PC Chiropractor CurrentSince Sep 12, 2018 Accepting new patients

Locations

1515 Greenwood Ave
Jackson, MI 49203
Phone (517) 787-4513

300 W Washington Ave
Ste 150
Jackson, MI 49201
Phone (517) 783-4664

300 W Washington Ave
Ste 250
Jackson, MI 49201
Phone (517) 539-3188

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1962512731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 GREENWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "49203",
            "telephone_number": "517-787-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 GREENWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492034047",
            "telephone_number": "517-787-4513",
            "fax_number": "517-787-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMARCH",
        "first_name": "PATRICK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "SM1882117",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016757360001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.