Active NPI
Quentin Smith, D.C.
- Pain Medicine Physician
- Mesa, AZ
National Provider Identifier
1104282516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 8523
- Practice address
- 1234 S Power Rd
Mesa, AZ 85206-3700 - Phone
- (480) 758-4252
- NPI assigned
- Jan 14, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 8523 | AZ | Primary |
Addresses
Primary practice location
1234 S Power Rd
Mesa, AZ 85206-3700
Mailing address
1234 South Power Rd
252
Mesa, AZ 85206
Phone (480) 758-4252
Other practice location 1
1166 E Warner Rd
Ste 219
Gilbert, AZ 85296-3066
Phone (480) 385-7584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Balance Counseling LLC | Multi-Specialty | Current | Accepting new patients |
Locations
1234 S Power Rd
Ste 252
Mesa, AZ 85206
Phone (480) 758-4252
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mesa, AZ
- NPI 1720693062
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104282516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 SOUTH POWER RD",
"address_2": "252",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-758-4252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 S POWER RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852063700",
"telephone_number": "480-758-4252"
}
],
"practiceLocations": [
{
"address_1": "1166 E WARNER RD",
"address_2": "STE 219",
"address_purpose": "LOCATION",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963066",
"country_code": "US",
"telephone_number": "480-385-7584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "QUENTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-14",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "AZ",
"license": "8523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.