Dean P Smith, MD

Primary specialty

Pediatric Urology PhysicianTaxonomy code 2088P0231X

License

18653 Issued in TN

Practice address

2100 W Clinch Ave
Suite 120
Knoxville, TN 37916-2219

Phone

(865) 637-7290

Fax

(865) 637-7289

NPI assigned

Sep 13, 2005

Last updated

May 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• University Pediatric Urology, PC

  • Specialist
  • Knoxville, TN
  • NPI 1396779039
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1174518542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W CLINCH AVE",
            "address_2": "SUITE 120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162219",
            "telephone_number": "865-637-7290",
            "fax_number": "865-637-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CLINCH AVE",
            "address_2": "SUITE 120",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162219",
            "telephone_number": "865-637-7290",
            "fax_number": "865-637-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DEAN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "18653",
            "primary": false
        },
        {
            "code": "2088P0231X",
            "taxonomy_group": "",
            "desc": "Urology, Pediatric Urology",
            "state": "TN",
            "license": "18653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3091928",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danyelle Charlotte Smith, LPC-MHSP, NCC, AS
• Darin S. Smith, M.D.
• Darla Smith, MPH, RDN, LDN
• Darlene Smith
• David Smith, OD
• Deanna Smith, LPN
• Debra Ann Smith, MA, CCC-SLP
• Delaney Rae Smith, OTR/L
• Denali K. Smith
• Dinah Smith

• Pediatric Urology Physician in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatric Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.