Individual provider Active NPI

Danielle Renee Smith, C.O.

  • Orthotist
  • Charlotte, NC
National Provider Identifier
1174965305
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
ORT216 Issued in FL
Practice address
309 E Morehead St
Suite 280
Charlotte, NC 28202-2301
Phone
(704) 344-1290
Fax
(704) 344-1292
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X ORT216 FL Primary

Addresses

Primary practice location

309 E Morehead St
Suite 280
Charlotte, NC 28202-2301

Mailing address

309 E Morehead St
Suite 280
Charlotte, NC 28202-2301
Phone (704) 344-1290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ORT216FLMDOrthotist

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1174965305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E MOREHEAD ST",
            "address_2": "SUITE 280",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022301",
            "telephone_number": "704-344-1290",
            "fax_number": "704-344-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MOREHEAD ST",
            "address_2": "SUITE 280",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022301",
            "telephone_number": "704-344-1290",
            "fax_number": "704-344-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIELLE",
        "middle_name": "RENEE",
        "credential": "C.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "FL",
            "license": "ORT216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; 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.