Kelvin Smith Jr., LO, CO

Primary specialty

OrthotistTaxonomy code 222Z00000X

Practice address

4915 Saint Elmo Ave Ste 300
Bethesda, MD 20814-6077

Phone

(240) 970-1780

Fax

(240) 970-1781

NPI assigned

Jan 17, 2020

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Clavon Clinic, LLC

  • Prosthetic/Orthotic Supplier
  • Bethesda, MD
  • NPI 1609573369
  NPD Authorized official

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1265062343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146077",
            "telephone_number": "240-970-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 SAINT ELMO AVE STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146077",
            "telephone_number": "240-970-1780",
            "fax_number": "240-970-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KELVIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LO, CO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-17",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, & PEDORTHICS",
            "identifier": "CO006148",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaqueta Smith
• Jere Smith
• Jeremy M Smith, LMSW
• Julian Kyle Smith, LCSW-C, LICSW
• Kathryn Rachael Smith, DPT
• Kirby L Smith, PT, DPT
• Kristal Marie Smith, PMHNP STUDENT
• Laura Ann Smith, LICSW
• Leah Smith
• Leslie Smith, RN, AOCNS, APRN-CNS

• Orthotist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Orthotist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.