Smart Brain Aging Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SMART BRAIN AGING INC

Practice address

8130 E Cactus Rd Ste 250
Scottsdale, AZ 85260-5263

Phone

(480) 993-3879

Fax

(480) 935-0964

NPI assigned

Jul 7, 2016

Organization subpart

No

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

Authorized official

Name

John William Denboer

Title

Ao

Phone

(602) 510-9217

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1306298955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 E CACTUS RD STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605263",
            "telephone_number": "480-993-3879",
            "fax_number": "480-935-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 E CACTUS RD STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605263",
            "telephone_number": "480-993-3879",
            "fax_number": "480-935-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART BRAIN AGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "DENBOER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "602-510-9217"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Angus Smalls-Walker, FNP-C
• Shania Sherrell Smalls
• Margaret Patricia Smallwood, DNP, RN
• Matthew Smallwood, MD
• Roi Dennis Adela Cayetano Smallwood, PT, DPT
• Smart Nutrition by Karen Graham, Rd
• Chelsea Smart, LCSW
• Richele Leann Smart, PA
• SMC Recovery LLC
• Deborah Ann Smeed, OTR/L

• Specialist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.