Willie Smith II

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

02039054 Issued in TX

Practice address

1612 Chacon Canyon Dr
Desoto, TX 75115-7782

Phone

(817) 704-9583

NPI assigned

Oct 2, 2024

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• WS Transportation

  dba NEMT Driver

  • Secured Medical Transport (VAN)
  • Desoto, TX
  • NPI 1558181560

  Driver

  NPD Authorized official

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1154149771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 CHACON CANYON DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157782",
            "telephone_number": "817-704-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 CHACON CANYON DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157782",
            "telephone_number": "817-704-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WILLIE",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "02039054",
            "primary": true
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "02039054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Smith-Lockhart, LPC-INTERN
• Christopher Steven Smith
• Dorothy Lee Smith, LSW
• James Kevin Smith, O.D.
• Lemeita Smith
• Cheryl A. Snyder, M.D.
• William Lewis Snyder Jr., R.T.(R)(ARRT)
• Sofiya Rehman
• Soh of Texas Samson Liu PLLC (MG Family Dentistry)
• Soh of Texas Samson Liu PLLC (MG Family Dentistry Desoto - GROUP NPI)

• Non-emergency Medical Transport (VAN) in Desoto, TX
• Providers in Desoto, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.