Active NPI
Rodger Doyle Smith
- Pedorthist
- Mobile, AL
National Provider Identifier
1417353780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- Practice address
- 3421 Medical Park Dr
Med Park 2
Mobile, AL 36693-3330 - Phone
- (251) 665-8200
- Fax
- (251) 665-8210
- NPI assigned
- Nov 13, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 224L00000X | Primary | ||
| Orthotic Fitter | 225000000X |
Addresses
Primary practice location
3421 Medical Park Dr
Med Park 2
Mobile, AL 36693-3330
Mailing address
PO Box 40480
Mobile, AL 36640-0480
Phone (251) 665-8200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1417353780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40480",
"city": "MOBILE",
"state": "AL",
"postal_code": "366400480",
"telephone_number": "251-665-8200",
"fax_number": "251-665-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3421 MEDICAL PARK DR",
"address_2": "MED PARK 2",
"city": "MOBILE",
"state": "AL",
"postal_code": "366933330",
"telephone_number": "251-665-8200",
"fax_number": "251-665-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "RODGER",
"middle_name": "DOYLE",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-13",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.