Provider Demographics
NPI:1750475836
Name:SMITH, STEVEN B (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:B
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2790 CLAY EDWARDS DR
Mailing Address - Street 2:STE 1230
Mailing Address - City:NORTH KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-3253
Mailing Address - Country:US
Mailing Address - Phone:816-214-9300
Mailing Address - Fax:816-214-9330
Practice Address - Street 1:2790 CLAY EDWARDS DR STE 1230
Practice Address - Street 2:
Practice Address - City:N KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64116-3253
Practice Address - Country:US
Practice Address - Phone:816-841-3805
Practice Address - Fax:816-214-9330
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000143607332B00000X, 335E00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO7593740001OtherDMEPOS LOCATION 1
MO7593740002OtherDMEPOS LOCATION 2
MO7593740002OtherDMEPOS LOCATION 2
H23424Medicare UPIN