Xavier Smith, CPT, CHC, CLC

Primary specialty

Health EducatorTaxonomy code 174H00000X

Practice address

4109 W Maggie Dr
San Tan Valley, AZ 85142-3748

Phone

(480) 524-0258

NPI assigned

Feb 21, 2022

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1346995164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 W MAGGIE DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851423748",
            "telephone_number": "480-524-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 W MAGGIE DR",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851423748",
            "telephone_number": "480-524-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "XAVIER",
        "name_prefix": "Mr.",
        "credential": "CPT, CHC, CLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mario Skobic, MD
• Skybridge Harmony Homes
• Skyline Ja LLC
• Andrew Michael Smith, M.D
• Michelle Smith, NP
• Smiths Food & Drug Centers Inc (Frys Food and Drug)
• Smiths Food & Drug Centers Inc (Frys Food and Drug)
• Gary Smithson, DO
• Christopher Snay
• Kristina Nicole Snow, MS, CCC-SLP

• Health Educator in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Health Educator in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.