Active NPI
Maxwell Smith
- Behavior Analyst
- Arvada, CO
National Provider Identifier
1538600671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-68813
- Practice address
- 6750 W 52ND Ave
Arvada, CO 80002-3928 - Phone
- (720) 706-3396
- NPI assigned
- Mar 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-68813 | CO | Primary |
Addresses
Primary practice location
6750 W 52ND Ave
Arvada, CO 80002-3928
Mailing address
3401 Quebec St Ste 3500
Denver, CO 80207-2339
Phone (303) 919-4927
Other practice location 1
3401 Quebec St Ste 3500
Denver, CO 80207-2339
Phone (720) 706-3396
Other practice location 2
1312 17th St
Denver, CO 80202
Phone (303) 997-0305
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soar Health, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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": "1488931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1538600671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 QUEBEC ST STE 3500",
"city": "DENVER",
"state": "CO",
"postal_code": "802072339",
"telephone_number": "303-919-4927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 W 52ND AVE",
"city": "ARVADA",
"state": "CO",
"postal_code": "800023928",
"telephone_number": "720-706-3396"
}
],
"practiceLocations": [
{
"address_1": "3401 Quebec St Ste 3500",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802072339",
"country_code": "US",
"telephone_number": "720-706-3396",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1312 17th St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80202",
"country_code": "US",
"telephone_number": "303-997-0305",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MAXWELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-08",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-23-68813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.