Individual provider Active NPI

Trevor Dylan Smith, MD

  • Pediatrics Physician
  • Rockwall, TX
National Provider Identifier
1285166314
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
U8438 Issued in TX
Practice address
862 W Rusk St
Rockwall, TX 75087-3421
Phone
(972) 412-3034
Fax
(972) 412-1949
NPI assigned
Mar 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X U8438 TX Primary

Addresses

Primary practice location

862 W Rusk St
Rockwall, TX 75087-3421

Mailing address

862 W Rusk St
Rockwall, TX 75087-3421
Phone (972) 412-3034

Other practice location 1

757 E US Highway 80 Ste 200
Forney, TX 75126-8741
Phone (972) 646-3345

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

LicenseStateTypeSpecialty
U8438TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecan Tree Pediatrics, P.a. Pediatrics PastSince Oct 27, 2024 Accepting new patients
Lake Ray Hubbard Pediatrics Pediatrics PastSince Jul 13, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1285166314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 W RUSK ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873421",
            "telephone_number": "972-412-3034",
            "fax_number": "972-412-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 W RUSK ST",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750873421",
            "telephone_number": "972-412-3034",
            "fax_number": "972-412-1949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 E US Highway 80 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Forney",
            "state": "TX",
            "postal_code": "751268741",
            "country_code": "US",
            "telephone_number": "972-646-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TREVOR",
        "middle_name": "DYLAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "U8438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.