Active NPI
C Christopher Smith, M.D.F.A.C.S.
- Otolaryngology Physician
- Bangor, ME
National Provider Identifier
1003994476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 8105
- Practice address
- 885 Union St
Suite 145
Bangor, ME 04401-3083 - Phone
- (207) 973-9595
- Fax
- (207) 973-7515
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 8105 | NH | Primary |
Addresses
Primary practice location
885 Union St
Suite 145
Bangor, ME 04401-3083
Mailing address
43 Whiting Hill Rd
Suite 300
Brewer, ME 04412-1005
Phone (207) 973-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8105 | NH | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328659200000",
"number": "1003994476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 WHITING HILL RD",
"address_2": "SUITE 300",
"city": "BREWER",
"state": "ME",
"postal_code": "044121005",
"telephone_number": "207-973-5000",
"fax_number": "207-973-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "885 UNION ST",
"address_2": "SUITE 145",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013083",
"telephone_number": "207-973-9595",
"fax_number": "207-973-7515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "C",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "M.D.F.A.C.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NH",
"license": "8105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.