Active NPI
James D. Smith, P.C.
- Family Medicine Physician
- Kirksville, MO
National Provider Identifier
1093835928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32793
- Legal business name
- JAMES D. SMITH, P.C.
- Practice address
- 1108 E Patterson St
Suite 10
Kirksville, MO 63501-4002 - Phone
- (660) 665-4265
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Donald Smith
- Title
- Owner
- Phone
- (660) 665-4265
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32793 | MO | Primary |
Addresses
Primary practice location
1108 E Patterson St
Suite 10
Kirksville, MO 63501-4002
Mailing address
1108 East Patterson
Suite 10
Kirksville, MO 63501-1053
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240833608 | Medicaid | MO | |
| 501886709 | Medicaid | MO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Kirksville, MO
- NPI 1689659559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231718400000",
"number": "1093835928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1108 EAST PATTERSON",
"address_2": "SUITE 10",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635011053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 E PATTERSON ST",
"address_2": "SUITE 10",
"city": "KIRKSVILLE",
"state": "MO",
"postal_code": "635014002",
"telephone_number": "660-665-4265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES D. SMITH, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2009-01-12",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "DONALD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "660-665-4265",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "MO",
"license": "32793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240833608",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "501886709",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirksville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.