Dr. Robert C. Smith, M.D., P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

J4529 Issued in TX

Legal business name

DR. ROBERT C. SMITH, M.D., P.A.

Practice address

209 N Bonnie Brae St
Suite 205
Denton, TX 76201-3708

Phone

(940) 382-1718

Fax

(940) 380-9222

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Robert Charles Smith, M.D., P.A.

Title

Doctor

Phone

(940) 382-1718

Specialties & licenses 1

Addresses

Other names 1

• Denton Dermatology Doing business as

Locations

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1265684468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N BONNIE BRAE ST",
            "address_2": "SUITE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013708",
            "telephone_number": "940-382-1718",
            "fax_number": "940-380-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N BONNIE BRAE ST",
            "address_2": "SUITE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013708",
            "telephone_number": "940-382-1718",
            "fax_number": "940-380-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT C. SMITH, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "940-382-1718",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "J4529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denton Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dermatology Physician in Denton, TX
• Providers in Denton, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.