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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: July 19, 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
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
MR. JAMES M GREPLING P.A.C.
Physician Assistant (Medical)
6040 N 43RD AVE, SUITE 1
GLENDALE, AZ 85301
Maricopa County (623) 931-2221

Frequently Asked Questions

What is KENNETH R SMITH D. O. P.C.'s NPI number?

The NPI number assigned to this healthcare provider is 1407992381, enumerated as an "organization" on January 29, 2007.

Where is the provider located?

The provider is located at 6040 N 43RD AVE SUITE 1 GLENDALE, AZ 85301 and the phone number is (623) 931-2221.

What is the provider's specialty?

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.