Tracy Smith

Primary specialty

Vehicle Modifications ContractorTaxonomy code 171WV0202X

Practice address

1619 3Rd Ave SE
Rochester, MN 55904-7945

Phone

(507) 258-6277

NPI assigned

Oct 14, 2019

Sex

Male

Sole proprietor

Yes

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A to Z Repair & Mobility LLC

  • Vehicle Modifications Contractor
  • Rochester, MN
  • NPI 1205467313

  Vehicle Modifications

  NPD Authorized official

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571011200000",
    "number": "1881236552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 3RD AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047945",
            "telephone_number": "507-258-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 3RD AVE SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559047945",
            "telephone_number": "507-258-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ellen Smith, LPCC
• Ryan Joseph Smith, MD
• Sarah S Smith, PA-C
• Sydney Lea Smith, OTD, OTR
• Thomas Nick Smith, MD
• Travis Reed Smith, PHARMD, RPH
• Wendy Meredith Smith, M.D.
• William Tyler Smith, MD
• Fantley Clay Smither, M.D.
• William Anthony Smithson, M.D.

• All providers in Rochester, MN
• Vehicle Modifications Contractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.