DR. LAURENCE C. SMITH JR. (NPI# 1023191491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023191491 |
| Entity Type | Individual |
| Full Name | DR. LAURENCE C. SMITH JR. |
| Credential | PH.D. |
| Practice Address |
140 Sw 2nd St Cedaredge CO 81413-8902 |
| Mailing Address |
740 N Grand Mesa Dr Cedaredge CO 81413-3007 |
| Practice Telephone | 9708564955 |
| Practice Fax Number | 9708564359 |
| Mailing Telephone | 9708564955 |
| Mailing Fax Number | 9708564359 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2015-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2001 | TX | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
427 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MANAGED HEALTH NETWORK | 129987 | 01 |
| CO | CIGNA PROVIDER NUMBER | PR4381720 | 01 |
| TX | VALUE OPTIONS PROVIDER NO | 21061 | 01 |
| CO | 07004278 | 05 | |
| CO | CAQH PROVIDER NO. ANTHEM | 11584104 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023479557 | Laurence Smith | Registered Nurse | 8648 Pinyon St, Buena Park, CA 90620-4055 | 2016-03-10 |
| 1194895615 | Laurence Luther Smith | Social Worker | 1310 Tully Rd. Suite 101, San Jose, CA 95121 | 2006-11-09 |
| 1528159944 | Laurence Allen Smith | Pharmacist | 2620 Kessler Blvd E Dr, Indianapolis, IN 46220 | 2006-09-28 |
| 1669480901 | Laurence N Smith | Chiropractor | 10464 E Northwest Hwy, Dallas, TX 75238-4608 | 2006-08-03 |
| 1629003884 | Laurence Ryan Smith | Chiropractor | 1603 Ranch Road 620 N, Lakeway, TX 78734-2693 | 2006-07-12 |
| 1871797399 | Laurence P Smith | Optometrist | 1300 Ulster Ave, Lenscrafters Hudson Valley Mall, Kingston, NY 12401-1501 | 2007-06-11 |
| 1750304341 | Laurence R Smith | Family Medicine | 1915 W 5950 S, Roy, UT 84067-1454 | 2006-07-25 |
| Street Address |
140 SW 2ND ST |
| City | CEDAREDGE |
| State | CO |
| Zip Code | 81413-8902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194066910 | Dottie Marie Williams-whitlock | Massage Therapist | 735 S. Grand Mesa Drive, Cedaredge, CO 81413 | 2013-03-04 |
| 1194897447 | Cedaredge Pharmacy Inc. | Pharmacy | 215 W. Main St, Cedaredge, CO 81413 | 2006-11-14 |
| 1972689933 | Kendra Kinney | Social Worker | 195 West Main, Cedaredge, CO 81413 | 2006-10-31 |
| 1326648254 | Surface Creek Family Practice PC | Family Medicine | 255 Sw 8th Ave, Cedaredge, CO 81413 | 2020-10-29 |
| 1245766716 | Essential Embodiment LLC | Home Infusion | 120 W Main St, Suite D, Cedaredge, CO 81413 | 2017-05-03 |
| 1053625798 | Julie Ann Fournier | Nurse Practitioner | 255 Sw 8th Ave, Surface Creek Family Practice, Cedaredge, CO 81413 | 2010-08-05 |
| 1003349093 | John George Breitnauer Jr. | Pharmacist | 215 W Main St, Cedaridge, CO 81413-1044 | 2017-04-06 |
| 1316429848 | Millennium Regenerative Medicine, Inc. | Clinic/Center | 175 E Main St, Cedaredge, CO 81413-3331 | 2018-08-31 |
| 1265633606 | Christin Dawn Hawbaker | Acupuncturist | 175 E Main St, Cedaredge, CO 81413-3331 | 2007-05-31 |
| 1093849564 | Timothy Parker Hawbaker | Acupuncturist | 175 E Main St, Cedaredge, CO 81413-3331 | 2007-03-15 |
| Find all providers in zip 81413 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546609 | Heart Centered Counseling Inc | Psychologist | 5353 N Union Blvd, Colorado Springs, CO 80918-2065 | 2020-10-19 |
| 1699373621 | Colorado Springs Psychological Services | Psychologist | 6000 E Evans Ave Ste 350, Denver, CO 80222-5406 | 2020-10-12 |
| 1629676804 | Suzanne Beth Schimmel Cooper | Psychologist | 8158 E 5th Ave Ste 270, Denver, CO 80230-6446 | 2020-10-11 |
| 1225635188 | Heart Centered Counseling Inc | Psychologist | 8471 Turnpike Dr Ste 250, Westminster, CO 80031-7048 | 2020-10-05 |
| 1336746429 | Alexis Emich | Psychologist | 950 S Cherry St Ste 421, Denver, CO 80246-2665 | 2020-10-02 |
| 1336753888 | Kevin Ryan Feiszli | Psychologist | 18230 E Silver Creek Ave Bldg 392, Buckley Afb, CO 80011-9501 | 2020-09-02 |
| 1508478314 | Kent Hutchison | Psychologist | 2695 Juilliard St, Boulder, CO 80305-7030 | 2020-08-21 |
| 1043821986 | Wendy M Cowperthwaite | Psychologist | 1720 S Bellaire St Ste 900, Denver, CO 80222-4333 | 2020-08-13 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.