Larry a Smith

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E21510 Issued in CA

Legal business name

LARRY A SMITH

Practice address

1041 4TH St Ste B
Santa Rosa, CA 95404-4329

Phone

(707) 526-4777

Fax

(707) 526-8809

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Larry A SmithNPI 1609979822

Title

Owner

Phone

(707) 526-4777

Specialties & licenses 1

Addresses

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.

• Larry Alan Smith, DPM

  • Podiatrist
  • Santa Rosa, CA
  • NPI 1609979822
  Authorized official Same address or phone

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1417131871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 4TH ST STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044329",
            "telephone_number": "707-526-4777",
            "fax_number": "707-526-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 4TH ST STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044329",
            "telephone_number": "707-526-4777",
            "fax_number": "707-526-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY A SMITH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-526-4777"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E21510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Anne Lara, PSY.D.
• Maria Stephanie Larios
• Conrad E. Larkin, L.C.S.W.
• Emily Marie Larkin
• Evgenia Larkin
• Larry Marianella, MD a Professional Corp.
• Makenna Mary Larsen
• Paul R Larsen
• Jennifer Larson, RPH
• Kathryn Dianne Larson, P.T.

• Foot & Ankle Surgery Podiatrist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.