Individual provider Active NPI

Horace Fenton Smith III

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Hamden, CT
National Provider Identifier
1114741337
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
Practice address
24 Beacon St
Hamden, CT 06514
Phone
(434) 632-4840
NPI assigned
Nov 13, 2024
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X NU Primary

Addresses

Primary practice location

24 Beacon St
Hamden, CT 06514

Mailing address

24 Beacon St
Hamden, CT 06514
Phone (434) 632-4840

Other practice location 1

847 Hanover Rd
Meriden, CT 06451-5210
Phone (434) 632-4840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TLT Global LLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

847 Hanover Rd
Meriden, CT 06451
Phone (434) 632-4840

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1114741337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BEACON ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "434-632-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BEACON ST",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "06514",
            "telephone_number": "434-632-4840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "847 Hanover Rd",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064515210",
            "country_code": "US",
            "telephone_number": "434-632-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HORACE",
        "middle_name": "FENTON",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.