Organization Active NPI

Mark Smotzer D.B.a. Building Bridges

  • Speech-Language Pathologist
  • Aurora, IL
National Provider Identifier
1639396245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MARK SMOTZER D.B.A. BUILDING BRIDGES
Practice address
2364 Blue Spruce LN
Aurora, IL 60502-6385
Phone
(630) 661-7253
NPI assigned
Apr 18, 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
Mark Aaron Smotzer, SLPA
Title
Owner
Phone
(630) 661-7253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X IL Primary

Addresses

Primary practice location

2364 Blue Spruce LN
Aurora, IL 60502-6385

Mailing address

2364 Blue Spruce LN
Aurora, IL 60502-6385
Phone (630) 661-7253

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639396245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 BLUE SPRUCE LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605026385",
            "telephone_number": "630-661-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 BLUE SPRUCE LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605026385",
            "telephone_number": "630-661-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK SMOTZER D.B.A. BUILDING BRIDGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMOTZER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-661-7253",
        "authorized_official_credential": "SLPA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

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.