Smart MSK

Primary specialty

AcupuncturistTaxonomy code 171100000X

Legal business name

SMART MSK

Practice address

27372 Aliso Creek Rd Ste 100
Aliso Viejo, CA 92656-5339

Phone

(949) 520-1013

Fax

(949) 791-4595

NPI assigned

May 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Raymond B. Raven III, MD

Title

Owner

Phone

(949) 520-1013

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1073362901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27372 ALISO CREEK RD STE 100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565339",
            "telephone_number": "949-520-1013",
            "fax_number": "949-791-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27372 ALISO CREEK RD STE 100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565339",
            "telephone_number": "949-520-1013",
            "fax_number": "949-791-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART MSK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "RAVEN",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-520-1013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acupuncturist in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.