Active NPI
Shane Smyth, M.D.
- Neurology Physician
- Houston, TX
National Provider Identifier
1336388941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD430290
- Practice address
- 6550 Fannin St
Suite 1801
Houston, TX 77030-2744 - Phone
- (713) 798-7411
- NPI assigned
- Feb 5, 2009
- Last updated
- Feb 5, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD430290 | PA | Primary |
Addresses
Primary practice location
6550 Fannin St
Suite 1801
Houston, TX 77030-2744
Mailing address
7777 Greenbriar St
Apt 1030
Houston, TX 77030-4525
Phone (901) 301-9635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD430290 | PA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1336388941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 GREENBRIAR ST",
"address_2": "APT 1030",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770304525",
"telephone_number": "901-301-9635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6550 FANNIN ST",
"address_2": "SUITE 1801",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302744",
"telephone_number": "713-798-7411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMYTH",
"first_name": "SHANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-05",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD430290",
"primary": true
}
],
"identifiers": [],
"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 Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.