Chad G Smith, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

PO 60188334 Issued in WA

Practice address

205 15TH Ave SW Ste D
Puyallup, WA 98371-7873

Phone

(253) 845-0564

Fax

(253) 770-8482

NPI assigned

Jul 19, 2006

Last updated

Jul 22, 2019By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

71.58 of 100Reported as individual

Quality

38.54

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Family Foot Clinic Inc

  • Podiatric Clinic/Center
  • Puyallup, WA
  • NPI 1295030971
  Medicare reassignment Authorized official
• Foot Care Center LLC

  dba The Foot Care Center

  • Podiatric Clinic/Center
  • Billings, MT
  • NPI 1093348641

  Foot Surgery

  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1427077114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 15TH AVE SW STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717873",
            "telephone_number": "253-845-0564",
            "fax_number": "253-770-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 15TH AVE SW STE D",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717873",
            "telephone_number": "253-845-0564",
            "fax_number": "253-770-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHAD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "WA",
            "license": "PO 60188334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPT OF HEALTH LICENSE",
            "identifier": "PO 60188334",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0275410",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Smile Solutions LLC
• Smileright Orthodontics
• Aaron Douglas Smith, DMD
• Andrew Nelson Smith, PHARMD
• Andrew W Smith
• Christianne Smith
• Christina A Smith
• Connor Kamm Smith, PHARM D
• Courtney Gail Smith, LMP
• Daniel Steven Smith, DDS

• Foot Surgery Podiatrist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Foot Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.