JOHN JR. SMITH (DC) – Chiropractor, NPI 1447288071

JOHN JR. SMITH (DC) is a healthcare provider. based in Ellisville, Missouri. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 6547 (MO). The NPI Number for JOHN JR. SMITH (DC) is 1447288071

Main info

Male
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
JOHN JR. SMITH (DC)
NPI
1447288071
Phone
(636) 256-0707
Address
249 CLARKSON RD # 101
Enumeration Date
30 June 2006
Last Update Date
20 December 2023

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
6362560707
Graduation Year
1997 (29 years ago)
PAC ID
4587655931
Group Practice PAC ID
5698766038
Professional Enrollment ID
I20040609001024
Address ID
MO630112497EL249XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,129 CHIROPRACTIC in MO

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Provider Addresses for JOHN JR. SMITH (DC)

  • 249, Clarkson Road, Ellisville, Saint Louis County, Missouri, 63011, United States

    ELLISVILLE, MO 630112497

    Phone: (636) 256-0707

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040609001024IChiropracticMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions1,653163$0
View full utilization report →

Insurance plans in this area (ZIP 63011)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698766038View full group profile
NameSpecialtyState
C H I R O P R A C T I CMO
C H I R O P R A C T I CMO
C H I R O P R A C T I CMO

Reviews

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Frequently asked questions

Does JOHN JR. SMITH (DC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN JR. SMITH (DC) uses 1447288071.
Does CMS list JOHN JR. SMITH (DC) as active?
Yes — JOHN JR. SMITH (DC) is active in the NPI listing used on this page.
What is JOHN JR. SMITH (DC)'s primary classification?
Chiropractor is the headline specialty for JOHN JR. SMITH (DC) here. Clinical services aligned with this taxonomy classification.
Does JOHN JR. SMITH (DC) list a practice location?
Patients near Ellisville, Missouri may find JOHN JR. SMITH (DC) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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