Active NPI
Chris Smallwood II
- Driver
- Canfield, OH
National Provider Identifier
1255887949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 2005483
- Practice address
- 6128 St Andrews Dr
Canfield, OH 44406 - Phone
- (330) 647-3137
- Fax
- (800) 304-3604
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 2005483 | OH | Primary |
Addresses
Primary practice location
6128 St Andrews Dr
Canfield, OH 44406
Mailing address
202 N Meridian Rd
Youngstown, OH 44509-1858
Phone (330) 647-3137
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005483 | OH | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3 Kings Transportation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Non-emergency Medical Transport (VAN)
- Youngstown, OH
- NPI 1205353257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1255887949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 N MERIDIAN RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445091858",
"telephone_number": "330-647-3137",
"fax_number": "800-304-3604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6128 ST ANDREWS DR",
"city": "CANFIELD",
"state": "OH",
"postal_code": "44406",
"telephone_number": "330-647-3137",
"fax_number": "800-304-3604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALLWOOD",
"first_name": "CHRIS",
"name_suffix": "II",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "2005483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.