Christopher Jacob Smith, D.O

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS10662 Issued in FL

Practice address

4300 N University Dr Ste C100
Lauderhill, FL 33351-6243

Phone

(954) 314-7671

Fax

(954) 900-2372

NPI assigned

Feb 6, 2009

Last updated

Nov 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Family PracticeAlso: Dermatology

Education

Nova Southeastern College of Osteo Medicine, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
• Valley Regional Home Health, Inc Home health agency, Fresno, CA, CCN 059575

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christos Doctors Inn Walk in Health Care LLC

  • Primary Care Clinic/Center
  • Coral Springs, FL
  • NPI 1215262233
  Medicare reassignment NPD Authorized official
• Christos Care Medical Corp

  • Clinic/Center
  • Lauderhill, FL
  • NPI 1992674535
  NPD Authorized official
• Christos Walk in Dermatology and Medical PC

  • Dermatology Physician
  • Oakhurst, CA
  • NPI 1760350466
  NPD Authorized official
• Christos Skin Cancer & Mohs Clinic LLC

  • Procedural Dermatology Physician
  • Lauderhill, FL
  • NPI 1801392923
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Compassionate Care Home Health

  dba Compassionate Care Home Health Agency, LLC

  • Home Health Agency
  • Fresno, CA
  • NPI 1609826387
  Care Compare affiliation
• Valley Regional Home Health, Inc.

  • Home Health Agency
  • Fresno, CA
  • NPI 1275975138
  Care Compare affiliation

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732752000000",
    "number": "1366681892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE C100",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "954-314-7671",
            "fax_number": "954-900-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N UNIVERSITY DR STE C100",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333516243",
            "telephone_number": "954-314-7671",
            "fax_number": "954-900-2372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 N University Dr Ste C100",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333516243",
            "country_code": "US",
            "telephone_number": "954-314-7671",
            "fax_number": "954-900-2372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTOPHER",
        "middle_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "251824",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS10662",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "251824",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS10662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silver Impact, Inc
• Bradley I Simon, D.C.
• Ashley Michelle Siudmak, PTA
• Skills Driven Therapy
• Herbert Richard Slavin, MD
• Dawn Michelle Smith, MASSAGE THERAPIST
• Michelle Smith, ARNP
• Olden O Smith, MA
• Renay Smith
• Tashana M Smythe, PMHNP-BC

• Dermatology Physician in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.