Charles Smith, RBT

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

31 S Main St Ste 240
Dayton, OH 45402-2070

Phone

(614) 842-7649

Fax

(937) 606-3132

NPI assigned

Jun 22, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1275053134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NOBLE DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915353",
            "telephone_number": "937-847-3302",
            "fax_number": "330-264-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S MAIN ST STE 240",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022070",
            "telephone_number": "614-842-7649",
            "fax_number": "937-606-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2570 Technical Dr",
            "address_purpose": "LOCATION",
            "city": "Miamisburg",
            "state": "OH",
            "postal_code": "453426107",
            "country_code": "US",
            "telephone_number": "937-847-8750",
            "fax_number": "937-847-8753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLES",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beryl Ann Smith, P.T.
• Brooke Alexandra Smith
• Carey Smith
• Catrina Smith, CDCA
• Chadayzia Smith
• Chenika Smith
• Chester S Smith Jr.
• Cheyanne E Smith, LPN
• Christie L. Smith
• Christopher Smith

• Case Manager/Care Coordinator in Dayton, OH
• Providers in Dayton, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.