Smart Medical, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

57788 Issued in UT

Legal business name

SMART MEDICAL, LLC

Practice address

6337 S Highland Dr
Ste 110
Salt Lake City, UT 84121-2107

Phone

(801) 865-1884

Fax

(801) 386-9890

NPI assigned

Sep 29, 2015

Last updated

Sep 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Russell Brown

Title

Executive Director

Phone

(801) 865-1884

Specialties & licenses 1

Addresses

Other names 1

• Smart Medical Other name

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1548630908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 S HIGHLAND DR",
            "address_2": "STE 110",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841212107",
            "telephone_number": "801-865-1884",
            "fax_number": "801-386-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6337 S HIGHLAND DR",
            "address_2": "STE 110",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841212107",
            "telephone_number": "801-865-1884",
            "fax_number": "801-386-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "801-865-1884",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "UT",
            "license": "57788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Medical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael J Slye, CRNA
• Denise M Small, PHARM.D.
• Linda Marie Small
• Tara Smalley, AUD, CCC-A
• Smart Dental Care (NKA Holladay, LLC)
• Christine Pembroke Smart, LCSW
• Dane Taylor Smart
• Debra Smart
• James Smart, PHARM.D.
• Jenessa Smart

• Health Service Clinic/Center in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Health Service Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.