Michael Brian Smith, NMD, MS

Primary specialty

NaturopathTaxonomy code 175F00000X

License

NMD-0074 Issued in ID

Practice address

1547 Midway Ave Ste B
Ammon, ID 83406-6912

Phone

(208) 252-5188

Fax

(844) 556-5990

NPI assigned

Oct 13, 2023

Last updated

Oct 13, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1697155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1821879933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 CHANNING WAY # 323",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048034",
            "telephone_number": "208-252-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1547 MIDWAY AVE STE B",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834066912",
            "telephone_number": "208-252-5188",
            "fax_number": "844-556-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "BRIAN",
        "credential": "NMD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "ID",
            "license": "NMD-0074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janadell Skidmore, LMSW, ICADC
• Megan Diane Slusher, B.S.
• Smith Clinic P a
• Debbie Smith, LCSW
• Julie Smith, PHARMACIST
• Randall G. Smith
• Ryan Mark Smith, M.S.
• Scott Alan Smith, D.O.
• SNF Ammon Operating Company LLC. (Promontory Point Rehabilitation)
• Baylee Jo Sorenson, LMSW

• Naturopath in Ammon, ID
• Providers in Ammon, ID by specialty
• Naturopath in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.