MJ Smith Entity LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

MJ SMITH ENTITY LLC

Practice address

1307 3Rd St
Kentwood, LA 70444-3319

Phone

(985) 514-1584

Fax

(866) 388-7842

NPI assigned

Sep 6, 2007

Organization subpart

No

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

Authorized official

Name

Margaret J Smith, RN

Title

Owner

Phone

(985) 514-1584

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1831383546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704440623",
            "telephone_number": "985-514-1584",
            "fax_number": "866-388-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 3RD ST",
            "city": "KENTWOOD",
            "state": "LA",
            "postal_code": "704443319",
            "telephone_number": "985-514-1584",
            "fax_number": "866-388-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ SMITH ENTITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-514-1584",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.