David C Smith, M.D.

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

H5069 Issued in TX

Practice address

757 8TH Ave Ste 1
Fort Worth, TX 76104-2522

Phone

(817) 332-9957

Fax

(817) 336-3130

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Tess, PA

  dba Fort Worth Surgical Specialist, PA

  • Surgery Physician
  • Fort Worth, TX
  • NPI 1124070750
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1093767865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760488559",
            "telephone_number": "817-332-9957",
            "fax_number": "817-336-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 8TH AVE STE 1",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042522",
            "telephone_number": "817-332-9957",
            "fax_number": "817-336-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "H5069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "097299401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Damian Smith, PHARM D
• Danica Larissa Smith
• Daniel Jacob Smith, DO
• Danielle Elizabeth Smith, DO
• David Allen Smith, LCDC
• Delysa Smith
• Dillon Smith, PT, DPT
• Donald L Smith, MD
• Esther A Smith, CPNP
• Gregory Heath Smith, DO

• Trauma Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Trauma Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.