Individual provider Active NPI

Quentin Smith, D.C.

  • Pain Medicine Physician
  • Mesa, AZ
National Provider Identifier
1104282516
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
8523 Issued in AZ
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

OrganizationSpecialtyStatusNew patients
Inner Balance Counseling LLC Multi-Specialty CurrentSince Jul 1, 2024 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.

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.

Verify at the official NPI Registry.