Active NPI
Smith Cosmetic Surgery Center
- Facial Plastic Surgery Physician
- Houston, TX
National Provider Identifier
1316074065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Facial Plastic Surgery Physician
- License
- H2793
- Legal business name
- SMITH COSMETIC SURGERY CENTER
- Practice address
- 6410 Fannin St
Suite 810
Houston, TX 77030-3000 - Phone
- (713) 795-0600
- Fax
- (713) 795-0862
- NPI assigned
- Feb 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Raynard Smith, M.D.
- Title
- Medical Doctor
- Phone
- (713) 795-0600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Facial Plastic Surgery Physician | 207YS0123X | H2793 | TX | Primary |
Addresses
Primary practice location
6410 Fannin St
Suite 810
Houston, TX 77030-3000
Mailing address
6410 Fannin St
Suite 810
Houston, TX 77030-3000
Phone (713) 795-0600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3261901 | Other | TX | BLUE LINK |
| U79H | Other | TX | BLUE CROSS BLUE SHIELD |
| 1033185178 | Other | TX | TYPE 1 NPI |
| 1033274253 | Other | TX | OUR NPI FOR PALLADIUM |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Facial Plastic Surgery Physician
- Spring, TX
- NPI 1033185178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316074065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6410 FANNIN ST",
"address_2": "SUITE 810",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303000",
"telephone_number": "713-795-0600",
"fax_number": "713-795-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST",
"address_2": "SUITE 810",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303000",
"telephone_number": "713-795-0600",
"fax_number": "713-795-0862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH COSMETIC SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-28",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "RAYNARD",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "713-795-0600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207YS0123X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Facial Plastic Surgery",
"state": "TX",
"license": "H2793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE LINK",
"identifier": "3261901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "U79H",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI",
"identifier": "1033185178",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUR NPI FOR PALLADIUM",
"identifier": "1033274253",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.