Organization Active NPI

Smart Nutrition, LLC

  • Registered Dietitian
  • Frisco, TX
National Provider Identifier
1487033932
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT07362 Issued in TX
Legal business name
SMART NUTRITION, LLC
Practice address
2735 Clearfield LN
Frisco, TX 75034-4340
Phone
(972) 746-3009
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Mrs. Prem C Singh, RD, LDNNPI 1700278843
Title
Director/Officer
Phone
(972) 746-3009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X DT07362 TX Primary

Addresses

Primary practice location

2735 Clearfield LN
Frisco, TX 75034-4340

Mailing address

2735 Clearfield LN
Frisco, TX 75034-4340
Phone (972) 746-3009

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160105002428 TX Part B Supplier - Clinic/Group Practice 4486956604 Receives reassigned benefits from 1 practitioner
Practice locations: Frisco, TX

National Provider Directory

National Provider Directory

Locations

1020 W Exchange Pkwy
Ste 2160
Allen, TX 75013
Phone (469) 471-1988

1020 W Exchange Pkwy
Allen, TX 75013

7709 San Jacinto Pl
Plano, TX 75024
Phone (469) 471-1988

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1487033932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 CLEARFIELD LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344340",
            "telephone_number": "972-746-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2735 CLEARFIELD LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344340",
            "telephone_number": "972-746-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "972-746-3009",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT07362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.