Active NPI
Dr. Damaneon Smith and Associates PC
- Podiatrist
- Arlington, VA
National Provider Identifier
1033341383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 0103300902
- Legal business name
- DR. DAMANEON SMITH AND ASSOCIATES PC
- Practice address
- 5275 Lee Hwy Ste 303
Arlington, VA 22207-1619 - Phone
- (703) 538-5111
- Fax
- (703) 538-4193
- NPI assigned
- Aug 20, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Damaneon D Smith, DPM
- Title
- Owner
- Phone
- (703) 538-5111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 0103300902 | VA | Primary |
Addresses
Primary practice location
5275 Lee Hwy Ste 303
Arlington, VA 22207-1619
Mailing address
5275 Lee Hwy Ste 303
Arlington, VA 22207-1619
Phone (703) 538-5111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457463663 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Podiatrist
- Manassas, VA
- NPI 1134237449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288310400000",
"number": "1033341383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5275 LEE HWY STE 303",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222071619",
"telephone_number": "703-538-5111",
"fax_number": "703-538-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5275 LEE HWY STE 303",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222071619",
"telephone_number": "703-538-5111",
"fax_number": "703-538-4193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. DAMANEON SMITH AND ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-20",
"last_updated": "2010-10-29",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "DAMANEON",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-538-5111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "VA",
"license": "0103300902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457463663",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.