Carl Edward Smith Jr.

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

1403246825 Issued in NV

Practice address

1950 Simmons St
#1045
Las Vegas, NV 89106-1569

Phone

(702) 557-1464

NPI assigned

Oct 18, 2013

Last updated

Oct 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1245668748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 SIMMONS ST",
            "address_2": "#1045",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061569",
            "telephone_number": "702-557-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 SIMMONS ST",
            "address_2": "#1045",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061569",
            "telephone_number": "702-557-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARL",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NV",
            "license": "1403246825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Gia Smith
• Cameron Smith
• Cameron Edward Smith, PHYSICAL THERAPIST
• Carissa Lynn Smith, PHARMD
• Carl Bert Smith, D.P.M.
• Carl K Smith
• Carla Smith
• Carly Smith
• Carol Smith
• Caroline R Smith, OTR/L

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.