Active NPI
Matthew T Smith, M.D.
- Nephrology Physician
- Carrollton, TX
National Provider Identifier
1457303323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- N3316
- Practice address
- 4333 N Josey LN
Suite 202
Carrollton, TX 75010-4629 - Phone
- (469) 557-9627
- Fax
- (214) 731-0050
- NPI assigned
- May 17, 2006
- Last updated
- Jul 7, 2016
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | MD072037L | PA | |
| Nephrology Physician | 207RN0300X | N3316 | TX | Primary |
Addresses
Primary practice location
4333 N Josey LN
Suite 202
Carrollton, TX 75010-4629
Mailing address
3315 Colorado Blvd
Suite 102
Denton, TX 76210-6884
Phone (972) 219-0558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207294401 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD072037L | PA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Clinic of North Texas PLLC | Past | Accepting new patients |
Interoperability endpoints
- dmcmsmith@yourcarecommunity.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
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- NPI 1184131625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467849600000",
"number": "1457303323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 COLORADO BLVD",
"address_2": "SUITE 102",
"city": "DENTON",
"state": "TX",
"postal_code": "762106884",
"telephone_number": "972-219-0558",
"fax_number": "940-320-1708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4333 N JOSEY LN",
"address_2": "SUITE 202",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104629",
"telephone_number": "469-557-9627",
"fax_number": "214-731-0050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MATTHEW",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-17",
"last_updated": "2016-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "PA",
"license": "MD072037L",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TX",
"license": "N3316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207294401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.