Organization Active NPI

The Smith Xperience

  • Prosthetic/Orthotic Supplier
  • Norfolk, VA
National Provider Identifier
1205604352
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
THE SMITH XPERIENCE
Practice address
1610 Meadow Lake Dr
Norfolk, VA 23518-5204
Phone
(757) 816-7034
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Rodrica Smith, COMETOLOGISTNPI 1992574537
Title
Managing Member/Hairstylist
Phone
(175) 781-6703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1610 Meadow Lake Dr
Norfolk, VA 23518-5204

Mailing address

8036 Crescent Rd
Norfolk, VA 23505-1504
Phone (757) 816-7034

National Provider Directory

National Provider Directory

Locations

1610 Meadow Lake Dr
Norfolk, VA 23518
Phone (757) 816-7034

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1205604352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8036 CRESCENT RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235051504",
            "telephone_number": "757-816-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 MEADOW LAKE DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235185204",
            "telephone_number": "757-816-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMITH XPERIENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RODRICA",
        "authorized_official_title_or_position": "MANAGING MEMBER/HAIRSTYLIST",
        "authorized_official_telephone_number": "175-781-6703",
        "authorized_official_credential": "COMETOLOGIST"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.