John R Smolley Jr., MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36742 Issued in CO

Practice address

5738 Olde Wadsworth Blvd
Arvada, CO 80002-2535

Phone

(720) 898-9292

Fax

(303) 456-9284

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760406656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5738 OLDE WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022535",
            "telephone_number": "720-898-9292",
            "fax_number": "303-456-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 OLDE WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022535",
            "telephone_number": "720-898-9292",
            "fax_number": "303-456-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLLEY",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "36742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Smith, FNP
• Sarah Kathleen Smith
• Shannon Lee Smith, PA
• Stephanie May Smith, PA
• Andee Mae Smits, C.M.T.
• Aimee Lynne Smookler, M.A., CCC-SLP
• Justin M. Smutz, D.D.S.
• Elena Margareta Buse Snitzer
• Gina Marie Snyder, M.A., CCC-A
• Soar Health (Soar Autism Center)

• Psychiatry Physician in Arvada, CO
• Providers in Arvada, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.