MEDICARE: DR. STEVEN B SMITH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	2000143607	MO
2	335E00000X	Prosthetic/Orthotic Supplier	2000143607	MO
3	174400000X	Specialist	2000143607	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7593740001	OTHER	MO	DMEPOS LOCATION 1
2	7593740002	OTHER	MO	DMEPOS LOCATION 2

General Provider Information

NPI Number	:	1750475836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN B SMITH M.D.

Provider Business Mailing Address
First Line	:	2790 CLAY EDWARDS DR
Second Line	:	STE 1230
City	:	NORTH KANSAS CITY
State	:	MO
Zip	:	64116-3253
Country	:	US
Telephone Number	:	816-214-9300
Fax Number	:	816-214-9330

Provider Business Practice Location Address
First Line	:	2790 CLAY EDWARDS DR STE 1230
Second Line	:
City	:	N KANSAS CITY
State	:	MO
Zip	:	64116-3253
Country	:	US
Telephone Number	:	816-841-3805
Fax Number	:	816-214-9330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/21/2022

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Directions to “ DR. STEVEN B SMITH M.D.” Practice Location

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