Robert Thomas Smith Jr.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00024536 Issued in WA

Practice address

6923 5TH St E Apt 301
Fife, WA 98424-2918

Phone

(253) 517-8840

NPI assigned

Oct 11, 2007

Last updated

Oct 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1447448725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 5TH ST E APT 301",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242918",
            "telephone_number": "253-517-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6923 5TH ST E APT 301",
            "city": "FIFE",
            "state": "WA",
            "postal_code": "984242918",
            "telephone_number": "253-517-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00024536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Shutt
• Krista Sigsworth, LMP
• Tammy Darlene Simon
• Erika Santina Smart, D.D.S
• Henry Smith, CBT
• Tommy Soeum
• Ryan T Solaiza
• Sound Oxygen Service LLC
• Sound Oxygen Service LLC
• Christopher Hayden Speyer

• Specialist in Fife, WA
• Providers in Fife, WA by specialty
• Specialist in Washington

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