Individual provider Active NPI

David R Smith, MD

  • Pediatrics Physician
  • Hutchinson, KS
National Provider Identifier
1306134044
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0437495 Issued in KS
Practice address
2700 E 30TH Ave
Hutchinson, KS 67502
Phone
(620) 663-8484
NPI assigned
Jul 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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 0437495 KS Primary

Addresses

Primary practice location

2700 E 30TH Ave
Hutchinson, KS 67502

Mailing address

2700 E 30TH Ave
Hutchinson, KS 67502-1242
Phone (620) 663-8484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120820000129 KS Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 5294981650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0437495KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prairiestar Health Center, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.smith@khindirect.org
  • Direct secure messaging: david.smith@pshc.eclinicaldirectplus.com

Organizations & group practices 1

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": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1306134044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "675021242",
            "telephone_number": "620-663-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 E 30TH AVE",
            "city": "HUTCHINSON",
            "state": "KS",
            "postal_code": "67502",
            "telephone_number": "620-663-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "0437495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, KS

Sources for this page

Verify at the official NPI Registry.