Active NPI
Debra J Smith, MD
- Family Medicine Physician
- Delta, CO
National Provider Identifier
1215965728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 40532
- Practice address
- 1501 E 3Rd St
Delta, CO 81416-2815 - Phone
- (970) 874-7681
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 40532 | CO | Primary |
| Emergency Medicine Physician | 207P00000X | 40532 | CO |
Addresses
Primary practice location
1501 E 3Rd St
Delta, CO 81416-2815
Mailing address
PO Box 10100
Delta, CO 81416-0008
Phone (970) 874-7225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61336319 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40532 | CO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New West Physicians Inc | Family Medicine | Past | Accepting new patients |
| Washington Hospital | Emergency Medicine | Past | Accepting new patients |
| Kieca MD PLLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Delta, CO
- NPI 1013103373
-
- Emergency Medical Services (Emergency Medicine) Physician
- Washington, PA
- NPI 1639133861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1215965728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10100",
"city": "DELTA",
"state": "CO",
"postal_code": "814160008",
"telephone_number": "970-874-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E 3RD ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814162815",
"telephone_number": "970-874-7681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DEBRA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "40532",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CO",
"license": "40532",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "61336319",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.