Kent Ragan Smalley, M.D.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

18860 Issued in OK

Practice address

3432 NW 178TH St Ste a
Edmond, OK 73012-9150

Phone

(405) 696-3773

Fax

(405) 757-6953

NPI assigned

May 23, 2006

Last updated

Apr 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

NeurologyAlso: Addiction Medicine, Pain Management

Education

University of Oklahoma College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3442/brand/1/csg/61/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tell-a-Neurodoc, LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Edmond, OK
  • NPI 1164986774
  Medicare reassignment NPD
• Cardiology Clinic of Muskogee, Inc.

  dba CCOM Medical Group, Inc.

  • Internal Medicine Physician
  • Muskogee, OK
  • NPI 1053380287
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1043265770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3432 NW 178TH ST STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129150",
            "telephone_number": "405-696-3773",
            "fax_number": "405-757-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3432 NW 178TH ST STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129150",
            "telephone_number": "405-696-3773",
            "fax_number": "405-757-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEY",
        "first_name": "KENT",
        "middle_name": "RAGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OK",
            "license": "18860",
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "OK",
            "license": "18860",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "OK",
            "license": "18860",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OK",
            "license": "18860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100094690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sleep Specialists of Northern Oklahoma PLLC
• Katelyn Sletten, M.S. CCC-SLP
• Angelia Sligar, MS IN PSYCHOLOGY
• Rachel Sloan, CNM
• Luke Michael Small, LCSW
• Stephen E Smedlund, MD
• Samantha Renee Smeltzer, APRN-CNP
• Smileworx Dental
• Alexis Nicole Smirlis, MD
• Smith Medical, Inc.

• Neuromusculoskeletal Medicine & OMM Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.