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Deactivated NPI 1700186723 Deactivated / Inactive NPI Male Practitioner

Dr. Mackenzie Smith , MD

Pediatrics • Mercer Island, WA

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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, Dr. Mackenzie Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 25, 2010
NPI Deactivation Date May 21, 2026
Total Practice Duration ~16 Years of Practice (2010 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Mackenzie Smith, MD was a registered Pediatrics practicing in Mercer Island, WA. Throughout an active medical career spanning 16 years, Dr. Smith provided care at the practice location at 9100 S. E. 72ND PL. until profile deactivation on 2026-05-21.

Practice Location & Contact Primary Location

Practice Address

9100 S. E. 72nd Pl.

Mercer Island, WA 980405421

Telephone 2062322630

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Mercer Island, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Mercer Island, WA (1802 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD00005722

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 21, 2026

Record deactivated on May 21, 2026

NPI Profile Active October 25, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 25, 2010

Registered at 9100 S. E. 72ND PL., MERCER ISLAND, WA 980405421 (Tel: 2062322630)

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Updated Business Mailing Address October 25, 2010

Registered at 9100 S. E. 72ND PL., MERCER ISLAND, WA 980405421 (Tel: 2062322630)

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Provider Name / Credentials Updated October 25, 2010

Recorded as MACKENZIE SMITH, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2010

Pediatrics (License #MD00005722 in WA)

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Initial NPI Registration & Enumeration October 25, 2010

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: 1700186723
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2010
Last Update: October 25, 2010
Deactivation Date: May 21, 2026

Mailing Address

9100 S. E. 72nd Pl.

Mercer Island, WA 980405421

Phone: 2062322630

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

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