Mahagony Smith

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2675 Court Dr
Gastonia, NC 28054-1478

Phone

(704) 824-4999

NPI assigned

May 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1477137263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 FINCHER BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694452",
            "telephone_number": "404-285-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280541478",
            "telephone_number": "704-824-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAHAGONY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-08",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mahagony.smith@compleatkidz.com",
            "affiliation": "N",
            "endpointDescription": "Company  Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Gastonia",
            "address_1": "2675 Court Dr",
            "city": "Gastonia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280541478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eva Szentpetery Smith, MD
• Gregory Philip Smith, COTA/L
• Jesse C. Smith Jr.
• Joyce Lynn Smith, LCSW
• Maelonda Smith
• Mallory Smith, LCMHCA
• Nicholas Daniel Smith
• Reesa Smith, LPN
• Rodney Wilson Smith, M.D.
• Shameka Rachelle Smith

• Behavior Technician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; 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.