NPIMap

Organization Active NPI

Kelly J Smith MD PA

Doing business as Children's Asthma, Sleep & Pulmonary Institute

  • Pediatric Pulmonology Physician
  • San Antonio, TX
National Provider Identifier
1083829139
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
Legal business name
KELLY J SMITH MD PA
Doing business as
Children's Asthma, Sleep & Pulmonary Institute
Practice address
5282 Medical Dr
Suite 120
San Antonio, TX 78229-4849
Phone
(210) 615-3700
Fax
(210) 615-3701
NPI assigned
May 11, 2007
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. Kelly J Smith, MD
Title
Owner/Physician
Phone
(210) 615-3700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X M3394 TX
Pediatric Sleep Medicine Physician 2080S0012X M3394 TX

Addresses

Primary practice location

5282 Medical Dr
Suite 120
San Antonio, TX 78229-4849

Mailing address

5282 Medical Dr
Suite 120
San Antonio, TX 78229-4849
Phone (210) 615-3700

Other identifiers 1

IdentifierTypeStateIssuer
191771801MedicaidTX

Other names 1

  • Children's Asthma, Sleep & Pulmonary Institute Doing business as

National Provider Directory

National Provider Directory

Locations

5282 Medical Dr
Ste 120
San Antonio, TX 78229
Phone (210) 615-3700

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1083829139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "210-615-3700",
            "fax_number": "210-615-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294849",
            "telephone_number": "210-615-3700",
            "fax_number": "210-615-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY J SMITH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "210-615-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "TX",
            "license": "M3394",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "TX",
            "license": "M3394",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191771801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Asthma, Sleep & Pulmonary Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.