IndividualActive
Kevin Smith
NPI 1790529923 · Developmental Disabilities Clinic/Center · Gilbert, AZ
Provider details
- NPI number
- 1790529923
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
- Adult Day Care Clinic/Center261QA0600X
Ambulatory Health Care Facilities
- Assisted Living Facility310400000X
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
929 N Val Vista Dr Ste 109
Gilbert, AZ 85234-3701
Phone: (480) 862-3648
Street-level locationGet directions
Mailing address
1405 N St Paul
Mesa, AZ 85205-6864
Additional practice locations (1)
- 1390 E Jasper DrGilbert, AZ 85296-4347Phone: (480) 862-3648
Registry dates
- Enumerated
- 2024-06-21
- Last updated
- 2025-08-05
- Certified
- 2025-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.