Vernon M. Smith Jr, MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VERNON M. SMITH JR, MD PC

Practice address

1805 Kipling St
Lakewood, CO 80215-1477

Phone

(303) 232-7660

Fax

(303) 934-7332

NPI assigned

Dec 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Vernon Smith, MDNPI 1144294638

Title

President

Phone

(303) 232-7660

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vernon Milan Smith Jr., MD

  • Internal Medicine Physician
  • Lakewood, CO
  • NPI 1144294638
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1093998890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151477",
            "telephone_number": "303-232-7660",
            "fax_number": "303-934-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802151477",
            "telephone_number": "303-232-7660",
            "fax_number": "303-934-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON M. SMITH JR, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VERNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-232-7660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRW MEDICARE",
            "identifier": "CJ7189",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01248608",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Ver Miller, PSY.D.
• Enrique Vera Tudela
• Donald A. Vergo
• Veritas Men's Clinic
• Amy Lynn Vermilyea, D.C.
• Verns Vigilant Care Home LLC
• Nicole Versaw, MSW
• Christina Sehy Verschave, DDS
• Elipio Vialpando
• Sarah Elizabeth Vickers

• Internal Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.