Individual provider Active NPI

Stanton Miller Smith, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Murray, UT
National Provider Identifier
1043283856
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
1045170501 Issued in UT
Practice address
168 E 5900 S # 102
Murray, UT 84107-7287
Phone
(801) 441-2719
Fax
(801) 327-2304
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 1045170501 UT Primary

Addresses

Primary practice location

168 E 5900 S # 102
Murray, UT 84107-7287

Mailing address

168 E 5900 S # 102
Murray, UT 84107-7287
Phone (801) 441-2719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091207000145 UT Practitioner - Podiatry 2264586619 Reassigns benefits to 1 organization
I20210113000400 WY Practitioner - Podiatry 2264586619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 19TH St
Wheatland, WY 82201-3162
Phone (801) 441-2719

1210 Canyon Hills Rd
Thermopolis, WY 82443-3137
Phone (801) 441-2719

141 Pioneer Home Dr
Thermopolis, WY 82443-2451
Phone (801) 441-2719

180 Chase Dr
Lander, WY 82520-4409
Phone (801) 441-2719

345 S Hale St
Grantsville, UT 84029-9546
Phone (801) 441-2719

4041 S Poplar St
Casper, WY 82601-5928
Phone (801) 441-2719

4154 Talon Dr
Casper, WY 82604-3282
Phone (801) 441-2719

5770 S 250 E
Suite 415
Murray, UT 84107-8172
Phone (801) 314-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as individual
Quality
57.13
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
58.38 of 100Reported as individual
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue44
Removal of nail tissue2419
Removal or shaving of skin growth1198

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1045170501UTMDPrimary Podiatric Medicine Podiatrist
160WYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
K2 Foot Services LLC CurrentSince Sep 23, 2020 Accepting new patients
K2 Foot and Ankle PLLC Primary Podiatric Medicine CurrentSince Dec 31, 2010 Accepting new patients
Arlington Park Surgery Center, LLC PastSince Feb 1, 2009 Accepting new patients

Locations

5770 S 250 E
Ste 41
Murray, UT 84107
Phone (801) 314-5400

5770 S 250 E
Ste 415
Salt Lake City, UT 84107
Phone (801) 268-2822

168 E 5900 S
Ste 102
Salt Lake City, UT 84107

168 E 5900 S
#102
Salt Lake City, UT 84107

100 19th St
Wheatland, WY 82201
Phone (307) 322-6406

Interoperability endpoints

  • Direct secure messaging: k2footandanklepllc.stantonsmith@160039.advancedmd-direct.com
  • Direct secure messaging: stanton.smith.1@6358.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/6358/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1043283856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 E 5900 S # 102",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077287",
            "telephone_number": "801-441-2719",
            "fax_number": "801-327-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 E 5900 S # 102",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841077287",
            "telephone_number": "801-441-2719",
            "fax_number": "801-327-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STANTON",
        "middle_name": "MILLER",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "UT",
            "license": "1045170501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.