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MR. KEVIN ETWOOD SMITH JR.
NPI 1790529923
Clinic/Center - Developmental Disabilities in Gilbert, AZ

Active since June 21, 2024
929 N VAL VISTA DR STE 109, GILBERT, AZ 85234(480) 862-3648 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Jun 21, 2024 (2 updates tracked since 2024).

About Mr. Kevin Etwood Smith Jr. NPPES

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

MR. KEVIN ETWOOD SMITH JR. (NPI 1790529923) is an individual developmental disabilities provider in Gilbert, Arizona and active in the NPI registry since June 2024. He maintains a secondary practice location in Gilbert.

NPPES Registry Identity

NPI1790529923
Entity TypeIndividualMale
Primary Taxonomy261QD1600X
Provider Legal NameMR. KEVIN ETWOOD SMITH JR.
Location Address929 N VAL VISTA DR STE 109Gilbert, AZ 85234-3701
Mailing Address1405 N St PaulMesa, AZ 85205-6864 · (480) 862-3648
Phone(480) 862-3648
Sole ProprietorYes
Enumeration DateJune 21, 2024
Last NPPES UpdateAugust 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1790529923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X
Also ListedAssisted Living FacilityTaxonomy 310400000X
929 N VAL VISTA DR STE 109, Gilbert, AZ 85234
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Secondary Practice Location 1

Location 11390 E Jasper DrGilbert, AZ 85296-4347 · Phone (480) 862-3648

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 Kevin Smith's NPI number?

The NPI number for Kevin Smith is 1790529923. It was assigned to this individual provider in the NPPES registry on June 21, 2024.

Where is Kevin Smith located?

Kevin Smith practices at 929 N Val Vista Dr Ste 109, Gilbert, AZ 85234. The listed phone number is (480) 862-3648.

What is Kevin Smith's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Kevin Smith was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.