Organization Active NPI

Smax LLC

Doing business as Envoque Md.

  • Naturopath
  • Mesa, AZ
National Provider Identifier
1790041903
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
SMAX LLC
Doing business as
Envoque Md.
Practice address
4220 E McDowell Rd
Suite # 103
Mesa, AZ 85215-9743
Phone
(480) 289-3690
Fax
(480) 289-3694
NPI assigned
Apr 2, 2012
Last updated
Apr 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Jacqueline Olson
Title
Owner
Phone
(480) 289-3690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X NU Primary

Addresses

Primary practice location

4220 E McDowell Rd
Suite # 103
Mesa, AZ 85215-9743

Mailing address

4220 E McDowell Rd
Suite # 103
Mesa, AZ 85215-9743
Phone (480) 289-3690

Other names 1

  • Envoque Md. Doing business as

National Provider Directory

National Provider Directory

Locations

4220 E McDowell Rd
Ste 103
Mesa, AZ 85215
Phone (480) 289-3690

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1790041903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 E MCDOWELL RD",
            "address_2": "SUITE # 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852159743",
            "telephone_number": "480-289-3690",
            "fax_number": "480-289-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 E MCDOWELL RD",
            "address_2": "SUITE # 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852159743",
            "telephone_number": "480-289-3690",
            "fax_number": "480-289-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-289-3690"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envoque Md.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.