Individual provider Active NPI

Dwight Smith, M.D.

  • Ophthalmology Physician
  • Inglewood, CA
National Provider Identifier
1346384864
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C37854 Issued in CA
Practice address
165 N la Brea Ave
Inglewood, CA 90301-1707
Phone
(323) 678-1111
NPI assigned
Feb 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C37854 CA Primary

Addresses

Primary practice location

165 N la Brea Ave
Inglewood, CA 90301-1707

Mailing address

165 N la Brea Ave
Inglewood, CA 90301-1707
Phone (323) 678-1111

Other identifiers 2

IdentifierTypeStateIssuer
WC37854AOtherCAMEDICARE RENDERING NUMBER
00C378540MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040524001491 CA Practitioner - Ophthalmology 0648251934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Howard University College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

165 N la Brea
Inglewood, CA 90301-1707

165 N la Brea Ave
Inglewood, CA 90301-1707
Phone 3236781113781113

555 E Hardy St
Inglewood, CA 90301-4011
Phone (310) 673-4660

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C37854CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dwight H. Smith, M.D., Inc CurrentSince Aug 26, 1984 Accepting new patients

Locations

165 N La Brea Ave
Inglewood, CA 90301
Phone (213) 678-1111

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

1711 W Temple St
Fl 7
Los Angeles, CA 90026
Phone (213) 207-5000

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": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1346384864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 N LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011707",
            "telephone_number": "323-678-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N LA BREA AVE",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011707",
            "telephone_number": "323-678-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DWIGHT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C37854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RENDERING NUMBER",
            "identifier": "WC37854A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C378540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.