NPIMap

Organization Active NPI

Smik Chiropractic, Inc.

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1982709762
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-27390 Issued in CA
Legal business name
SMIK CHIROPRACTIC, INC.
Practice address
20445 Prospect Rd.
Suite 1
San Jose, CA 95129-4662
Phone
(408) 446-8444
Fax
(408) 446-9444
NPI assigned
Sep 14, 2006
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. Irina Borodulin-Smik, D.C.NPI 1629098116
Title
President/Chiropractor
Phone
(408) 446-8444

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC-27390 CA Primary

Addresses

Primary practice location

20445 Prospect Rd.
Suite 1
San Jose, CA 95129-4662

Mailing address

20445 Prospect Rd.
Suite 1
San Jose, CA 95129-4662
Phone (408) 446-8444

Other identifiers 2

IdentifierTypeStateIssuer
DC0273900MedicaidCA
ZZZ64417Z-30OtherCABLUE SHIELD OF CALIFORNIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1982709762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20445 PROSPECT RD.",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294662",
            "telephone_number": "408-446-8444",
            "fax_number": "408-446-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20445 PROSPECT RD.",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951294662",
            "telephone_number": "408-446-8444",
            "fax_number": "408-446-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMIK CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BORODULIN-SMIK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "408-446-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-27390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DC0273900",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ64417Z-30",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

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.