Organization Active NPI

Smith Agency, Inc.

  • Developmental Disabilities Clinic/Center
  • Centennial, CO
National Provider Identifier
1588705271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
1540493 Issued in CO
Legal business name
SMITH AGENCY, INC.
Practice address
7169 S Liverpool St
Centennial, CO 80016-1746
Phone
(303) 699-1060
Fax
(303) 699-2769
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Laura N Smith
Title
Financial Manager
Phone
(303) 699-1060

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 44882 CO
Developmental Disabilities Clinic/Center 261QD1600X 96482 CO
Developmental Disabilities Clinic/Center 261QD1600X 06566 CO
Developmental Disabilities Clinic/Center 261QD1600X 1531585 CO
Developmental Disabilities Clinic/Center 261QD1600X 1540493 CO Primary

Addresses

Primary practice location

7169 S Liverpool St
Centennial, CO 80016-1746

Mailing address

7169 S Liverpool St
Centennial, CO 80016-1746
Phone (303) 699-1060

Other identifiers 3

IdentifierTypeStateIssuer
09146192MedicaidCO
09146200MedicaidCO
76838374MedicaidCO

Other names 1

  • Serenity Homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smith Agency5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588705271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7169 S LIVERPOOL ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800161746",
            "telephone_number": "303-699-1060",
            "fax_number": "303-699-2769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7169 S LIVERPOOL ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800161746",
            "telephone_number": "303-699-1060",
            "fax_number": "303-699-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FINANCIAL MANAGER",
        "authorized_official_telephone_number": "303-699-1060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CO",
            "license": "44882",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CO",
            "license": "96482",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CO",
            "license": "06566",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CO",
            "license": "1531585",
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "CO",
            "license": "1540493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09146192",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09146200",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76838374",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.