Individual provider Active NPI

Keith Dennis Smigiel, NP

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1457452856
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10952 Issued in AZ
Practice address
13610 N Scottsdale Rd Ste 10
Scottsdale, AZ 85254-4087
Phone
(602) 485-9390
NPI assigned
Sep 26, 2006
Last updated
Mar 31, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10952 AZ Primary
Chiropractor 111N00000X 5513 AZ

Addresses

Primary practice location

13610 N Scottsdale Rd Ste 10
Scottsdale, AZ 85254-4087

Mailing address

13610 N Scottsdale Rd Ste 10
Scottsdale, AZ 85254-4087
Phone (602) 485-9390

Other practice location 1

4744 E Thunderbird Rd Ste 4
Phoenix, AZ 85032-5577
Phone (602) 485-9390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5513AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Center of Regenerative Medicine PastSince Jan 30, 2018 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1457452856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13610 N SCOTTSDALE RD STE 10",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544087",
            "telephone_number": "602-485-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13610 N SCOTTSDALE RD STE 10",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544087",
            "telephone_number": "602-485-9390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4744 E Thunderbird Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850325577",
            "country_code": "US",
            "telephone_number": "602-485-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMIGIEL",
        "first_name": "KEITH",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10952",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.