Organization Active NPI

Lee D. Smith, DPM, PA

  • Podiatrist
  • Clearwater, FL
National Provider Identifier
1285840272
Registry record updated Aug 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO1914 Issued in FL
Legal business name
LEE D. SMITH, DPM, PA
Practice address
2451 N McMullen Booth Rd Ste 206
Clearwater, FL 33759-1362
Phone
(727) 789-4556
Fax
(813) 925-1435
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2010

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

Authorized official

Name
Dr. Lee David Smith, DPM
Title
Podiatrist
Phone
(727) 789-4556

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO1914 FL Primary

Addresses

Primary practice location

2451 N McMullen Booth Rd Ste 206
Clearwater, FL 33759-1362

Mailing address

PO Box 15654
Clearwater, FL 33766-5654
Phone (727) 789-4556

Other identifiers 1

IdentifierTypeStateIssuer
029712700MedicaidFL

National Provider Directory

National Provider Directory

Locations

2451 N McMullen Booth Rd
Ste 206
Clearwater, FL 33759
Phone (727) 789-4556

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1285840272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15654",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337665654",
            "telephone_number": "727-789-4556",
            "fax_number": "813-925-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 N MCMULLEN BOOTH RD STE 206",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591362",
            "telephone_number": "727-789-4556",
            "fax_number": "813-925-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE D. SMITH, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "727-789-4556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO1914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029712700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.