Christian Zach Smith, CPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

Practice address

2333 Knob Creek Rd Ste 14
Johnson City, TN 37604-2007

Phone

(423) 461-3320

Fax

(423) 461-3314

NPI assigned

Jan 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Victory Orthotics & Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Knoxville, TN
  • NPI 1437692548

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295233369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 KNOB CREEK RD STE 14",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042007",
            "telephone_number": "423-461-3320",
            "fax_number": "423-461-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 KNOB CREEK RD STE 14",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042007",
            "telephone_number": "423-461-3320",
            "fax_number": "423-461-3314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166D Market Place Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379222337",
            "country_code": "US",
            "telephone_number": "865-249-8852",
            "fax_number": "865-249-8674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTIAN",
        "middle_name": "ZACH",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454184",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457443624",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bert Jackson Smith, M.D.
• Bianca N Smith, FNP
• Caleb A Smith, DO
• Candice Ashley Smith, B.A.
• Chandar Smith
• Christina V Smith, LPC-MHSP
• Christy J Smith, APN
• Coleen Marie Smith, D.O.
• Elijah Smith
• Elizabeth A Smith, NP

• Prosthetist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Prosthetist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.