Carolyn Ann Smith, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

G2620 Issued in TX

Practice address

4 Twin Bridge CT
Dallas, TX 75243-6235

Phone

(214) 503-9264

NPI assigned

Oct 5, 2005

Sex

Female

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

Enrolled in WA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Diagnostic Clinic of Houston

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1255304457
  NPD (past)
• Diagnostic Clinic of Houston Lab

  • Clinical Medical Laboratory
  • Houston, TX
  • NPI 1528031481
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1144217902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TWIN BRIDGE CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436235",
            "telephone_number": "214-503-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TWIN BRIDGE CT",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436235",
            "telephone_number": "214-503-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CAROLYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "G2620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Allen Smith, M.D.
• Brynn Smith
• Callen Weaver Smith, PT, DPT
• Cara Elizabeth Smith, PT
• Carmen Princele Smith, D.D.S.
• Carrie Tuckness Smith, RN
• Casey Chauffe Smith
• Casey Ryan Smith, ATC
• Cecil Paul Smith, D.C.
• Charlotte Smith, LPC

• Rheumatology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Rheumatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.