Charles Jacob Smack

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

9918 Belmore CV
San Antonio, TX 78245-4419

Phone

(314) 471-5331

NPI assigned

Jun 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1043870306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9918 BELMORE CV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9918 BELMORE CV",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454419",
            "telephone_number": "314-471-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMACK",
        "first_name": "CHARLES",
        "middle_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charles.j.smack.mil@mail.mil",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9918 Belmore Cv",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782454419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Camille Slush, M.S., LPC ASSOCIATE
• Andrew David Slusher, M.D.
• Chandra M Slusser, REGISTERED DIETICIAN
• Sydney E Slye, LCSW
• Scott Slyter
• Nermana Smajic, CRNA
• Small Acres Therapy PLLC
• Small Talk Speech Therapy, PLLC
• Colin Matthew Small
• Kimberly M. Smalley, D.D.S.

• All providers in San Antonio, TX
• Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.