Individual provider Active NPI

Damaneon Smith, DPM

  • Podiatrist
  • Arlington, VA
National Provider Identifier
1457463663
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0103300902 Issued in VA
Practice address
2412 N Illinois St
Arlington, VA 22205-3121
Phone
(703) 582-2107
Fax
(703) 578-3121
NPI assigned
Sep 1, 2006
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0103300902 VA Primary

Addresses

Primary practice location

2412 N Illinois St
Arlington, VA 22205-3121

Mailing address

2412 N Illinois St
Arlington, VA 22205-3121
Phone (703) 582-2107

Other identifiers 3

IdentifierTypeStateIssuer
010031982MedicaidVA
6289370001OtherVADME
P00831471OtherVAMCR-RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20031209000286 DC Practitioner - Podiatry 9931005261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Arlington, VA 22205
Phone (703) 582-2107

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of nail tissue1176
Removal or shaving of skin growth432

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0103300902VAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Damaneon Smith and Associates PC Podiatrist CurrentSince Jun 11, 2009 Accepting new patients
Sandtown Foot & Ankle Center LLC Past Accepting new patients
Ricardo M. Bennett DPM Podiatrist Past Accepting new patients
Premier Podiatry of Virginia LLC Podiatrist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1457463663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 N ILLINOIS ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053121",
            "telephone_number": "703-582-2107",
            "fax_number": "703-578-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 N ILLINOIS ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053121",
            "telephone_number": "703-582-2107",
            "fax_number": "703-578-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAMANEON",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010031982",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "6289370001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCR-RR",
            "identifier": "P00831471",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.