Organization Active NPI

66 Smart LLC

  • Recovery Care Clinic/Center
  • Golden Valley, AZ
National Provider Identifier
1942907621
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
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

Updated by the provider on Feb 13, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.