Alan Kenneth Smith, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

2405 Issued in SC

Practice address

101 Broadbent Way
Anderson, SC 29625

Phone

(864) 222-0059

Fax

(864) 222-9008

NPI assigned

May 31, 2005

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 SC

Enrollment records 1

Specialty

Qualified Audiologist

Education

University of Florida College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Anderson Audiology Consultants, PA

  • Audiologist
  • Anderson, SC
  • NPI 1780723569
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215930664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BROADBENT WAY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29625",
            "telephone_number": "864-222-0059",
            "fax_number": "864-222-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BROADBENT WAY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29625",
            "telephone_number": "864-222-0059",
            "fax_number": "864-222-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALAN",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "SC",
            "license": "2405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0500",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffani Sloan
• Jessica Sloyan
• Jennifer Marie Small, NP
• Kiera Smalls, COTA
• Smith Dental Care of South Carolina
• Barbara Smith
• Chaka P Smith
• Cheryl Frate Smith, CACII
• Danielle C. Smith, SLP
• Emily Smith, COTA

• Audiologist in Anderson, SC
• Providers in Anderson, SC by specialty
• Audiologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.