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Deactivated NPI 1467069617 Deactivated / Inactive NPI Male Practitioner

Johan Michael Smith

Orthotist • Arvada, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Johan Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 30, 2020
NPI Deactivation Date November 03, 2021
Total Practice Duration ~1 Years of Practice (2020 – 2021)

Professional Overview & Biography Verified Profile Summary

Johan Smith was a registered Orthotist practicing in Arvada, CO. Throughout an active medical career spanning 1 years, Johan Smith provided care at the practice location at 6372 KENDALL ST until profile deactivation on 2021-11-03.

Practice Location & Contact Primary Location

Practice Address

6372 Kendall St

Arvada, CO 800035045

Telephone 6309776496

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthotist in Arvada, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Arvada, CO (19 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Orthotist Primary Specialty

NUCC Taxonomy Code: 222Z00000X

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated November 03, 2021

Record deactivated on November 03, 2021

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NPI Profile Deactivated November 02, 2021

Record deactivated on November 02, 2021

NPI Profile Active September 30, 2020

NPI status registered as active in NPPES database

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Updated Practice Location September 30, 2020

Registered at 6372 KENDALL ST, ARVADA, CO 800035045 (Tel: 6309776496)

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Updated Business Mailing Address September 30, 2020

Registered at 6372 KENDALL ST, ARVADA, CO 800035045

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Provider Name / Credentials Updated September 30, 2020

Recorded as JOHAN SMITH

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2020

Orthotist

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Initial NPI Registration & Enumeration September 30, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1467069617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 30, 2020
Last Update: September 30, 2020
Deactivation Date: November 03, 2021

Mailing Address

6372 Kendall St

Arvada, CO 800035045

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.