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KENNETH R SMITH D. O. P.C.
NPI 1407992381
Family Medicine - Adult Medicine in Glendale, AZ

Active since January 29, 2007
6040 N 43RD AVE, SUITE 1, GLENDALE, AZ 85301(623) 931-2221 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth R Smith D. O. P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH R SMITH D. O. P.C. (NPI 1407992381) is a healthcare organization registered as an adult medicine in Glendale, Arizona and active in the NPI registry since January 2007. The organization lists Kenneth R Smith, President, as its authorized official.

NPPES Registry Identity

NPI1407992381
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameKENNETH R SMITH D. O. P.C.
Location Address6040 N 43RD AVE, SUITE 1Glendale, AZ 85301-5488
Mailing Address6040 N 43rd Ave, Suite 1Glendale, AZ 85301-5488 · (623) 931-2221
Phone(623) 931-2221
Organization SubpartNo
Authorized OfficialKenneth R SmithPresident · (623) 931-2221
Enumeration DateJanuary 29, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407992381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in AZ · 1718
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
6040 N 43RD AVE, Glendale, AZ 85301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHAHAB ARDALAN D.D.S.
Dentist
6040 N 43RD AVE, SUITE #4
GLENDALE, AZ 85301
Maricopa County (623) 218-2222
MR. JAMES M GREPLING P.A.C.
Physician Assistant (Medical)
6040 N 43RD AVE, SUITE 1
GLENDALE, AZ 85301
Maricopa County (623) 931-2221
STEVEN Q. HANSEN D.D.S.P.C.
Dentist (General Practice)
6040 N 43RD AVE
GLENDALE, AZ 85301
Maricopa County (623) 937-9241
PALI, LLC
Dentist
6040 N 43RD AVE, SUITE 2
GLENDALE, AZ 85301
Maricopa County (623) 937-9241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth R Smith D. O. P.C.'s NPI number?

The NPI number for Kenneth R Smith D. O. P.C. is 1407992381. It was assigned to this organization in the NPPES registry on January 29, 2007.

Where is Kenneth R Smith D. O. P.C. located?

Kenneth R Smith D. O. P.C. is located at 6040 N 43rd Ave Suite 1, Glendale, AZ 85301. The listed phone number is (623) 931-2221.

What is Kenneth R Smith D. O. P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Kenneth R Smith D. O. P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.