Individual provider Active NPI

Cyrus Daniel Smith, D.O.

  • Orthopaedic Surgery Physician
  • Saint Joseph, MO
National Provider Identifier
1316949043
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
R1G77 Issued in MO
Practice address
3107 Frederick Ave
Suite B
Saint Joseph, MO 64506-2911
Phone
(816) 233-9888
Fax
(816) 233-0414
NPI assigned
Aug 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X R1G77 MO Primary

Addresses

Primary practice location

3107 Frederick Ave
Suite B
Saint Joseph, MO 64506-2911

Mailing address

3107 Frederick Ave
Suite B
Saint Joseph, MO 64506-2911
Phone (816) 233-9888

Other practice location 1

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-2600

Other practice location 2

114 E South Hills Dr
Maryville, MO 64468-2659
Phone (660) 562-2525

Other practice location 3

301 E Price Ave
Savannah, MO 64485-2427
Phone (816) 432-0006

Other practice location 4

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-2525

Other names 1

  • C Daniel Smith Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050311000736 MO Practitioner - Orthopedic Surgery 5395644132 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Medicine Center, LLC Orthopaedic Surgery CurrentSince Mar 1, 1998 Accepting new patients
Orthopedic & Sports Medicine Center LLC Orthopaedic Surgery CurrentSince Mar 1, 1998 Accepting new patients

Locations

3107 Frederick Ave
Saint Joseph, MO 64506
Phone (816) 233-9555

3107 Frederick Ave
Ste B
Saint Joseph, MO 64506
Phone (816) 233-9888

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1316949043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 FREDERICK AVE",
            "address_2": "SUITE B",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062911",
            "telephone_number": "816-233-9888",
            "fax_number": "816-233-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 FREDERICK AVE",
            "address_2": "SUITE B",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062911",
            "telephone_number": "816-233-9888",
            "fax_number": "816-233-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2016 S Main St",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644682655",
            "country_code": "US",
            "telephone_number": "660-562-2600",
            "fax_number": "660-562-7911",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "114 E South Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644682659",
            "country_code": "US",
            "telephone_number": "660-562-2525",
            "fax_number": "660-562-4303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E Price Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "MO",
            "postal_code": "644852427",
            "country_code": "US",
            "telephone_number": "816-432-0006",
            "fax_number": "816-432-0008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2016 S Main St",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644682655",
            "country_code": "US",
            "telephone_number": "660-562-2525",
            "fax_number": "660-562-7961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CYRUS",
        "middle_name": "DANIEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MO",
            "license": "R1G77",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C",
            "last_name": "SMITH",
            "middle_name": "DANIEL",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.