Joseph M. Smith III, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

93154 Issued in NM

Practice address

490B W Zia Rd
Suite a
Santa Fe, NM 87505-6996

Phone

(505) 995-8346

Fax

(505) 995-8345

NPI assigned

May 19, 2006

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Cvdwestgate LLC

  • Vascular Surgery Physician
  • Glendale, AZ
  • NPI 1023686904
  NPD (past)
• Living Our Dreams LLC

  • Medical Specialty Clinic/Center
  • Gilbert, AZ
  • NPI 1578872180
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1437103157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19420 N 59TH AVE",
            "address_2": "SUITE B233",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086894",
            "telephone_number": "623-234-2542",
            "fax_number": "623-234-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490B W ZIA RD",
            "address_2": "SUITE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056996",
            "telephone_number": "505-995-8346",
            "fax_number": "505-995-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOSEPH",
        "middle_name": "M.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NM",
            "license": "93154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "700521083",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Mittnacht Smith, M.D.
• Cheri Smith
• Eric T Smith, ATP
• Jacee Danielle Smith
• Janet L Smith, CFNP
• Leanne Barbara Smith, RPH
• Marilym Smith
• Matthew L Smith, RN
• Melissa Marie Smith
• Michelle Smith

• Vascular Surgery Physician in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Vascular Surgery Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.