Organization Active NPI

Stephen a. Smith, M.D., P.C.

  • Specialist
  • Concord, MA
National Provider Identifier
1285835264
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
34311 Issued in MA
Legal business name
STEPHEN A. SMITH, M.D., P.C.
Practice address
54 Baker Avenue
Suite 303
Concord, MA 01742-2189
Phone
(978) 369-8780
Fax
(978) 369-1043
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Dr. Stephen A Smith, M.D.NPI 1134120397
Title
ENT Doctor
Phone
(978) 369-8780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 34311 MA Primary

Addresses

Primary practice location

54 Baker Avenue
Suite 303
Concord, MA 01742-2189

Mailing address

54 Baker Ave
Suite 303
Concord, MA 01742-2189
Phone (978) 369-8780

National Provider Directory

National Provider Directory

Locations

290 Baker Ave
Ste N101
Concord, MA 01742
Phone (978) 266-9286

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1285835264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BAKER AVE",
            "address_2": "SUITE 303",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-8780",
            "fax_number": "978-369-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BAKER AVENUE",
            "address_2": "SUITE 303",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422189",
            "telephone_number": "978-369-8780",
            "fax_number": "978-369-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. SMITH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ENT DOCTOR",
        "authorized_official_telephone_number": "978-369-8780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "34311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.