Dr. Cynthia Swayze Smith D.O

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L4741 Issued in TX

Legal business name

DR. CYNTHIA SWAYZE SMITH D.O

Practice address

7777 Forest LN BLDG C Suite A94
PMB 138
Dallas, TX 75230

Phone

(469) 360-6787

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Cynthia D Swayze-Smith, D.O.

Title

Physican

Phone

(469) 360-6787

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1053594911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN BLDG C SUITE A94",
            "address_2": "PMB 138",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "469-360-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN BLDG C SUITE A94",
            "address_2": "PMB 138",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75230",
            "telephone_number": "469-360-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CYNTHIA SWAYZE SMITH D.O",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "SWAYZE-SMITH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "469-360-6787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L4741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165161401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154379502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.