Queen Creek Medical, PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

QUEEN CREEK MEDICAL, PLLC

Practice address

21258 E Rittenhouse Rd Ste 110
Queen Creek, AZ 85142-9341

Phone

(480) 867-8782

NPI assigned

Oct 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Quentin Smith, DC

Title

Owner

Phone

(480) 867-8782

Specialties & licenses 2

Addresses

Other names 1

• Queen Creek Medical Doing business as

Locations

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1801616503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21258 E RITTENHOUSE RD STE 110",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429341",
            "telephone_number": "480-867-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21258 E RITTENHOUSE RD STE 110",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429341",
            "telephone_number": "480-867-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CREEK MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-867-8782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queen Creek Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• QC Medical Group LLC
• QC Valley Medical Centers, LLC
• Queen Creek Back Care, LLC
• Queen Creek Counseling LLC
• Queen Creek Implants & Periodontics
• Queen Creek Modern Dentistry, LLP
• Queen Creek Naturopathic PLLC
• Queen Creek Primary Care, P.C.
• Queen Creek Smiles, LLP
• Queen Creek Unified School District #95

• Interventional Pain Medicine Physician in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Interventional Pain Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; 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.