Individual provider Active NPI

Chad Richard Smith, M.D., FAAP

  • Pediatrics Physician
  • Allen, TX
National Provider Identifier
1346475472
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N1897 Issued in TX
Practice address
919 Medical Dr
Allen, TX 75013-5021
Phone
(214) 644-0280
Fax
(214) 644-0294
NPI assigned
May 19, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N1897 TX Primary

Addresses

Primary practice location

919 Medical Dr
Allen, TX 75013-5021

Mailing address

919 Medical Dr
Allen, TX 75013-5021
Phone (214) 644-0280

Other identifiers 1

IdentifierTypeStateIssuer
129982807MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241031000360 TX Practitioner - Pediatric Medicine 8921531831 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Nov 1, 2024 Accepting new patients
Dallas Physician Medical Services for Children Inc Pediatrics CurrentSince Nov 1, 2024 Accepting new patients
Complex Care Medical Services Corporation Pediatrics Past Accepting new patients
Centennial Pediatrics Pediatrics Past Accepting new patients

Locations

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

1935 Medical District Dr
#908
Dallas, TX 75235

5560 Independence Pkwy
Frisco, TX 75035
Phone (214) 389-8801

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

Interoperability endpoints

  • Direct secure messaging: csmith37602@direct.childrens.com

Organizations & group practices 4

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": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1346475472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 MEDICAL DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135021",
            "telephone_number": "214-644-0280",
            "fax_number": "214-644-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 MEDICAL DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135021",
            "telephone_number": "214-644-0280",
            "fax_number": "214-644-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHAD",
        "middle_name": "RICHARD",
        "credential": "M.D., FAAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N1897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129982807",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.