Ageless Nutrition Bar Holdings, Inc
NPI 1932704830 · Adult Medicine Physician · Phoenix, AZ
Ageless Nutrition Bar Holdings, Inc is a Adult Medicine Physician organization in Phoenix, AZ (NPI 1932704830).
Provider details
- NPI number
- 1932704830
- Entity type
- Organization
- Primary specialty
- Adult Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teah Smith, Credentialing Manager(901) 205-3999
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Other names (DBA / former)
- Doing business as
- Ageless Men'S Health
- Doing business as
- Ageless Men'S Health
Registry dates
- Enumerated
- 2020-12-01
- Last updated
- 2023-11-13
- Certified
- 2023-11-13
Frequently asked questions
- What is Ageless Nutrition Bar Holdings, Inc's NPI number?
- Ageless Nutrition Bar Holdings, Inc's National Provider Identifier (NPI) is 1932704830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ageless Nutrition Bar Holdings, Inc?
- Ageless Nutrition Bar Holdings, Inc is classified in the NPPES registry as Adult Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ageless Nutrition Bar Holdings, Inc located?
- Ageless Nutrition Bar Holdings, Inc's practice location on file with NPPES is 4802 E Ray Rd # 9, Phoenix, AZ 85044-6405.
- What is Ageless Nutrition Bar Holdings, Inc's phone number?
- The practice phone number listed in the NPPES registry for Ageless Nutrition Bar Holdings, Inc is (901) 757-3643.
- Who is the authorized official for Ageless Nutrition Bar Holdings, Inc?
- The authorized official listed on Ageless Nutrition Bar Holdings, Inc's NPPES record is Teah Smith, Credentialing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ageless Nutrition Bar Holdings, Inc's NPI active?
- Yes — Ageless Nutrition Bar Holdings, Inc's NPI (1932704830) is active in the NPPES registry as of the last update on 2023-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.