Dustin Wade Smith, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

1717 Issued in TX

Practice address

359 N Cypress St Ste 102
Gilmer, TX 75644-2348

Phone

(903) 300-0661

Fax

(903) 707-8906

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Back Office Management Services LLC

  • Podiatrist
  • Balch Springs, TX
  • NPI 1265739973
  Medicare reassignment NPD
• Excelpodiatry Care LLC

  • Podiatrist
  • Murfreesboro, TN
  • NPI 1568259406

  TX

  Medicare reassignment NPD
• Greater Foundation Foot Clinics East Texas, PLLC

  • Foot & Ankle Surgery Podiatrist
  • Tyler, TX
  • NPI 1801407887
  NPD Authorized official
• Back Office Management Services LLC

  • Podiatrist
  • Berea, KY
  • NPI 1336652585
  NPD
• Home Foot Care, LLP

  • Primary Podiatric Medicine Podiatrist
  • Houston, TX
  • NPI 1437147634
  NPD (past)
• Lepow Podiatric Medical Associates

  • Podiatrist
  • Houston, TX
  • NPI 1447399639

  Foot & Ankle Surgery

  NPD (past)
• Lepow Podiatric Medical Associates

  • Podiatrist
  • Houston, TX
  • NPI 1730228925
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1164468344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 N CYPRESS ST STE 102",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756442348",
            "telephone_number": "903-300-0661",
            "fax_number": "903-707-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 N CYPRESS ST STE 102",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756442348",
            "telephone_number": "903-300-0661",
            "fax_number": "903-707-8906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 E Goode St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Quitman",
            "state": "TX",
            "postal_code": "757831623",
            "country_code": "US",
            "telephone_number": "903-300-0661",
            "fax_number": "903-709-8906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1908 E US Highway 80 Ste 103",
            "address_purpose": "LOCATION",
            "city": "White Oak",
            "state": "TX",
            "postal_code": "756932366",
            "country_code": "US",
            "telephone_number": "903-300-0661",
            "fax_number": "903-707-8906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DUSTIN",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SCOTT AND WHITE",
            "identifier": "1164468344",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rucker S. Murry, MD
• Barbara Lea Schovanec, L.P.C.
• Robert J Schulte, CRNA
• Serve Medical Group, PLLC
• Shawn Johnston OD PLLC
• Larry Lamar Smith, MD
• Allison Faye Speed, NP
• Sara L. Spurlock, OTA
• John Steets, D.C.
• Robin Leigh Stephenson, D.C.

• Foot & Ankle Surgery Podiatrist in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.