Active NPI
66 Smart LLC
- Recovery Care Clinic/Center
- Golden Valley, AZ
National Provider Identifier
1942907621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recovery Care Clinic/Center
- Legal business name
- 66 SMART LLC
- Practice address
- 4225 US Highway 68 Ste F
Golden Valley, AZ 86413-8116 - Phone
- (928) 404-5350
- NPI assigned
- Feb 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Bailey, LMT
- Title
- Owner
- Phone
- (817) 797-2058
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recovery Care Clinic/Center | 261QR0800X | Primary |
Addresses
Primary practice location
4225 US Highway 68 Ste F
Golden Valley, AZ 86413-8116
Mailing address
4225 US Highway 68 Ste F
Golden Valley, AZ 86413-8116
Phone (928) 404-5350
National Provider Directory
National Provider DirectoryLocations
4225 US Highway 68
Ste F
Golden Valley, AZ 86413
Phone (928) 404-5350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1942907621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 US HIGHWAY 68 STE F",
"city": "GOLDEN VALLEY",
"state": "AZ",
"postal_code": "864138116",
"telephone_number": "928-404-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 US HIGHWAY 68 STE F",
"city": "GOLDEN VALLEY",
"state": "AZ",
"postal_code": "864138116",
"telephone_number": "928-404-5350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "66 SMART LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "817-797-2058",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.