Herbert George Smith Jr., L.P.O.

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

POR81 Issued in FL

Practice address

4109 Little Rd
Suite 102
Trinity, FL 34655-1715

Phone

(727) 645-6978

Fax

(727) 807-3331

NPI assigned

Apr 6, 2010

Last updated

Jul 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millennium Prosthetic and Orthotic Institute, LLC

  • Prosthetic/Orthotic Supplier
  • Seminole, FL
  • NPI 1780902676
  NPD Authorized official

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1083939789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 LITTLE RD",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551715",
            "telephone_number": "727-645-6978",
            "fax_number": "727-807-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 LITTLE RD",
            "address_2": "SUITE 102",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346551715",
            "telephone_number": "727-645-6978",
            "fax_number": "727-807-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HERBERT",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.P.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "FL",
            "license": "POR81",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "FL",
            "license": "POR81",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M000M",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smiles of Trinity Family Dentistry
• Ashley E Smith, PT, DPT
• Ashley Nichole Smith, APRN
• Blake Smith
• Christopher Smith
• Jarred Smith
• Jessica Ilene Smith, M.D.
• Krista Leigh Smith, CNM/WHNP
• Will B Smithy
• Brittany Snowden

• Prosthetist in Trinity, FL
• Providers in Trinity, FL by specialty
• Prosthetist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.