Robert Matthew Smith, D.P.M, C.PED

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

657 Issued in CO

Practice address

2030 Mountain View Ave
Suite 300
Longmont, CO 80501-3178

Phone

(303) 974-7474

Fax

(303) 997-1085

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Robert M Smith DPM P C

  • Podiatrist
  • Longmont, CO
  • NPI 1427340009
  Medicare reassignment Authorized official
• Flatirons Foot & Ankle Clinic, P.C.

  • Foot & Ankle Surgery Podiatrist
  • Longmont, CO
  • NPI 1982738910
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1083639173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14391 W 2ND PL",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015210",
            "telephone_number": "215-888-2970",
            "fax_number": "303-997-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 300",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013178",
            "telephone_number": "303-974-7474",
            "fax_number": "303-997-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.P.M, C.PED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROCKY MOUNTAIN HP",
            "identifier": "841175163004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7641870",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "84-1175163-04",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Mae Smith, MS, CCC-SLP
• Mason Glenn Smith
• Melissa Clare Smith, LMFT
• Natalie Smith, CNTP
• Richard Smith
• Rylie Smith
• Spenser Pete Smith
• William Michael Smith, PH.D.
• Wallace Alexander Sneddon, M.D.
• Christine Anne Snyder, M.S.O.M., L.AC.

• Foot & Ankle Surgery Podiatrist in Longmont, CO
• Providers in Longmont, CO by specialty
• Foot & Ankle Surgery Podiatrist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.