Organization Active NPI

Dwight E Smith, MD, PC

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1003849753
Registry record updated Dec 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DWIGHT E SMITH, MD, PC
Practice address
7800 W Outer Dr
Suite 230
Detroit, MI 48235-3461
Phone
(313) 535-0900
Fax
(313) 535-3810
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2009

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

Authorized official

Name
Dr. Dwight Eric Smith, MD
Title
Medical Director/Owner
Phone
(313) 535-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MI Primary

Addresses

Primary practice location

7800 W Outer Dr
Suite 230
Detroit, MI 48235-3461

Mailing address

PO Box 23088
Detroit, MI 48223-0088
Phone (313) 535-0900

Other identifiers 1

IdentifierTypeStateIssuer
2587036 TYPE 10MedicaidMI

Other names 1

  • Smith Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1003849753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23088",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482230088",
            "telephone_number": "313-535-0900",
            "fax_number": "313-535-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 W OUTER DR",
            "address_2": "SUITE 230",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353461",
            "telephone_number": "313-535-0900",
            "fax_number": "313-535-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWIGHT E SMITH, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "313-535-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2587036  TYPE 10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; 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.