Smi Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

OTC4705 Issued in AZ

Legal business name

SMI IMAGING, LLC

Practice address

2450 E Guadalupe Rd Ste 109
Gilbert, AZ 85234-5116

Phone

(480) 284-6019

Fax

(480) 686-9315

NPI assigned

Sep 3, 2009

Organization subpart

No

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

Authorized official

Name

Howard J Simon, M.D.

Title

President

Phone

(480) 264-2400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SimonMed Imaging - Greenfield Guadalupe Other name

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Dignity Health

  • Neurological Surgery Physician
  • Henderson, NV
  • NPI 1720358039

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1251936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1730312901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7368",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637368",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E GUADALUPE RD STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852345116",
            "telephone_number": "480-284-6019",
            "fax_number": "480-686-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMI IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-03",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-264-2400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "OTC4705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473162",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00811052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SimonMed Imaging - Greenfield Guadalupe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shaye Smerchek, RBT
• Smi Imaging LLC
• Smi Imaging LLC
• Smi Imaging, LLC
• Smi Imaging, LLC
• Sarah Smidstra, LAC
• Smile Clinique Gilbert
• Smile Crafters, PLLC
• Smile Today Gilbert
• Smiles at Mercy Gilbert LLC

• Diagnostic Radiology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Diagnostic Radiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.