Charles Mittnacht Smith, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C1-0000685 Issued in DE

Practice address

1101 Padre Kino
Santa Fe, NM 87501-2900

Phone

(505) 992-1101

Fax

(505) 992-1101

NPI assigned

Sep 16, 2012

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1347753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347753600000",
    "number": "1174873277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PADRE KINO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012900",
            "telephone_number": "505-992-1101",
            "fax_number": "505-992-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PADRE KINO",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875012900",
            "telephone_number": "505-992-1101",
            "fax_number": "505-992-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHARLES",
        "middle_name": "MITTNACHT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-16",
        "last_updated": "2012-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "DE",
            "license": "C1-0000685",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0000685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Smelser, M.D.
• Hima Bindu Smelser, M.D.
• Malcolm J Smith-Carlile, BMS
• Angelique L Smith
• Brent Smith
• Cheri Smith
• Eric T Smith, ATP
• Jacee Danielle Smith
• Janet L Smith, CFNP
• Joseph M. Smith III, MD

• Internal Medicine Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2012; 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.