Carl W. Smith, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G40206 Issued in CA

Practice address

12598 Central Ave
Suite 109
Chino, CA 91710-3502

Phone

(909) 628-6556

Fax

(909) 628-3831

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214006400000",
    "number": "1124143334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12598 CENTRAL AVE",
            "address_2": "SUITE 109",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103502",
            "telephone_number": "909-628-6556",
            "fax_number": "909-628-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12598 CENTRAL AVE",
            "address_2": "SUITE 109",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103502",
            "telephone_number": "909-628-6556",
            "fax_number": "909-628-3831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G40206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarsem Lal Singhal, D.D.S.
• Lee Singleton
• Alejandrina Ner Siriban, ST
• Siva Prasad Mullangi MD a Professional Medical Corporation
• SL Interpreting Services, LLC
• Imani Taja Smith, ASW
• La Vern Smith, PHARM. D.
• Quintisha Smith, LPN
• Royalle Smith
• Thomas D Smith, PHD

• Specialist in Chino, CA
• Providers in Chino, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2008; 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.