Active NPI
Christopher Smith
- Pediatrics Physician
- Trinity, FL
National Provider Identifier
1124480330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME145522
- Practice address
- 2137 Little Rd
Trinity, FL 34655-4410 - Phone
- (727) 372-6760
- Fax
- (727) 372-6808
- NPI assigned
- Mar 26, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME145522 | FL | Primary |
| Pediatric Sports Medicine Physician | 2080S0010X | ME145522 | FL |
Addresses
Primary practice location
2137 Little Rd
Trinity, FL 34655-4410
Mailing address
2137 Little Rd
Trinity, FL 34655-4410
Phone (727) 372-6760
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME145522 | FL | MD | Pediatric Sports Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Lake Pediatrics | Pediatrics | Current | Accepting new patients |
Locations
200 Pine Ave N
Oldsmar, FL 34677
4156 Woodlands Pkwy
Ste B
Palm Harbor, FL 34685
Phone (727) 372-6760
2137 Little Rd
Trinity, FL 34655
Phone (727) 372-6760
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60913
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Trinity, FL
- NPI 1144343617
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717027200000",
"number": "1124480330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2137 LITTLE RD",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554410",
"telephone_number": "727-372-6760",
"fax_number": "727-372-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2137 LITTLE RD",
"city": "TRINITY",
"state": "FL",
"postal_code": "346554410",
"telephone_number": "727-372-6760",
"fax_number": "727-372-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-26",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME145522",
"primary": true
},
{
"code": "2080S0010X",
"taxonomy_group": "",
"desc": "Pediatrics, Sports Medicine",
"state": "FL",
"license": "ME145522",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trinity, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.