Organization Active NPI

Suzanne M Smith, DPM, PA

  • Podiatrist
  • Rockwall, TX
National Provider Identifier
1336317486
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0899 Issued in TX
Legal business name
SUZANNE M SMITH, DPM, PA
Practice address
3136 Horizon Rd
Suite 120
Rockwall, TX 75032-7807
Phone
(972) 412-1347
Fax
(972) 463-1185
NPI assigned
Feb 12, 2008
Last updated
Nov 18, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Dr. Suzanne M Smith, DPMNPI 1477565364
Title
President
Phone
(972) 412-1347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 0899 TX Primary

Addresses

Primary practice location

3136 Horizon Rd
Suite 120
Rockwall, TX 75032-7807

Mailing address

3136 Horizon Rd
Suite 120
Rockwall, TX 75032-7807
Phone (972) 412-1347

National Provider Directory

National Provider Directory

Locations

3136 Horizon Rd
Ste 120
Rockwall, TX 75032
Phone (214) 396-4950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1336317486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 HORIZON RD",
            "address_2": "SUITE 120",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327807",
            "telephone_number": "972-412-1347",
            "fax_number": "972-463-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 HORIZON RD",
            "address_2": "SUITE 120",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327807",
            "telephone_number": "972-412-1347",
            "fax_number": "972-463-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE M SMITH, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-412-1347",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "0899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.