Markise Smith

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

7119 McIntosh LN Apt 1a
Indianapolis, IN 46226-1861

Phone

(317) 966-0482

NPI assigned

Nov 13, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1164296802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7119 MCINTOSH LN APT 1A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261861",
            "telephone_number": "317-966-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 MCINTOSH LN APT 1A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462261861",
            "telephone_number": "317-966-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARKISE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macey Christine Smith
• Madeline Inez Smith, BS
• Marisa Smith, LCSW
• Mark Smith
• Mark Warren Smith, LCSW
• Marla L Smith, PH.D.
• Mary Beth Smith, NP
• Megan Smith, CO
• Melanie Renee Smith, PHARM.D.
• Melissa Jane Smith, NP-C

• Contractor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Contractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.