Organization Active NPI

Peter C Smith DPM

  • Podiatrist
  • Lancaster, PA
National Provider Identifier
1003097569
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC003298L Issued in PA
Legal business name
PETER C SMITH DPM
Practice address
300 Granite Run Dr
Suite 160
Lancaster, PA 17601-6806
Phone
(717) 560-4310
Fax
(717) 560-3452
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peter C Smith, DPM
Title
Podiatrist Sole Proprietor
Phone
(717) 560-4310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X SC003298L PA Primary

Addresses

Primary practice location

300 Granite Run Dr
Suite 160
Lancaster, PA 17601-6806

Mailing address

300 Granite Run Dr
Suite 160
Lancaster, PA 17601-6806
Phone (717) 560-4310

Other identifiers 1

IdentifierTypeStateIssuer
0014543670002MedicaidPA

National Provider Directory

National Provider Directory

Locations

300 Granite Run Dr
Ste 160
Lancaster, PA 17601
Phone (717) 560-4310

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1003097569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GRANITE RUN DR",
            "address_2": "SUITE 160",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016806",
            "telephone_number": "717-560-4310",
            "fax_number": "717-560-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GRANITE RUN DR",
            "address_2": "SUITE 160",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016806",
            "telephone_number": "717-560-4310",
            "fax_number": "717-560-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER C SMITH DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PODIATRIST SOLE PROPRIETOR",
        "authorized_official_telephone_number": "717-560-4310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC003298L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014543670002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.