Kruz Smith

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

414 Washtenaw Rd
Apt 2
Ypsilanti, MI 48197-3240

Phone

(616) 329-1889

NPI assigned

Mar 17, 2015

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

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1851784698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 WASHTENAW RD",
            "address_2": "APT 2",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973240",
            "telephone_number": "616-329-1889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 WASHTENAW RD",
            "address_2": "APT 2",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481973240",
            "telephone_number": "616-329-1889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRUZ",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Gene Smith, MSW
• Irene Smith
• Jayden Smith
• Jill Deanne Smith, LBSW,CAC-M
• Kelsey Jean Smith, BEHAVIOR TECHNICIAN
• Madison Marie Smith, MA, IBCLC
• McKenna Marie Smith
• Michael Washburn Smith, MD
• Naomi Tyrese Smith, LMSW, LCSW
• Paul Gordon Smith, M.D.

• Other Technician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Other Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.