Cody Wayne Smith, CST, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

106121 Issued in CO

Practice address

1650 W. Rosedale, Suite 201
Fort Worth, TX 76104

Phone

(817) 885-7442

Fax

(817) 885-7443

NPI assigned

Jan 22, 2010

Last updated

Aug 3, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1427389964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 SOUTHWEST FWY STE 1550",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742053",
            "telephone_number": "832-436-4273",
            "fax_number": "832-436-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W. ROSEDALE, SUITE 201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-885-7442",
            "fax_number": "817-885-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CODY",
        "middle_name": "WAYNE",
        "credential": "CST, CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-22",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "106121",
            "primary": true
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "NU",
            "license": "CERT. # 106121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline C Smith, PHLEBOTOMIST
• Caylee Jordan Smith, D.C
• Chanel Mone Smith, PT, DPT
• Chera M Smith, PA-C
• Claire Smith, MS, CCC-SLP
• Crystal Smith
• Damian Smith, PHARM D
• Danica Larissa Smith
• Daniel Jacob Smith, DO
• Danielle Elizabeth Smith, DO

• Surgical Assistant in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.