NPIMap

Organization Active NPI

Ronda Dennis-Smithart, MD, PC

  • Pediatrics Physician
  • Oskaloosa, IA
National Provider Identifier
1063616720
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
24808 Issued in IA
Legal business name
RONDA DENNIS-SMITHART, MD, PC
Practice address
1417 A Ave E
Suite 100
Oskaloosa, IA 52577-4202
Phone
(641) 673-7537
Fax
(641) 673-5235
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Mr. Mike A Smithart
Title
Office Manager
Phone
(641) 673-7537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 24808 IA Primary

Addresses

Primary practice location

1417 A Ave E
Suite 100
Oskaloosa, IA 52577-4202

Mailing address

1417 A Ave E
Suite 100
Oskaloosa, IA 52577-4202
Phone (641) 673-7537

Other names 1

  • The Pediatric & Young Adult Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1063616720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 A AVE E",
            "address_2": "SUITE 100",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774202",
            "telephone_number": "641-673-7537",
            "fax_number": "641-673-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 A AVE E",
            "address_2": "SUITE 100",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525774202",
            "telephone_number": "641-673-7537",
            "fax_number": "641-673-5235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONDA DENNIS-SMITHART, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "SMITHART",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "641-673-7537",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "24808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pediatric & Young Adult Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oskaloosa, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.