Michael Patrick Smith, C.P.O.

Primary specialty

OrthotistTaxonomy code 222Z00000X

Practice address

1521 Technology Drive
Chesapeake, VA 23320-5974

Phone

(757) 548-5656

Fax

(757) 548-5657

NPI assigned

Sep 21, 2010

Last updated

Sep 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1528376787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 TECHNOLOGY DRIVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205974",
            "telephone_number": "757-548-5656",
            "fax_number": "757-548-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 TECHNOLOGY DRIVE",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205974",
            "telephone_number": "757-548-5656",
            "fax_number": "757-548-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "C.P.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-21",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "072347",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9110208",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "0648230002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "12167",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Smith
• Lynda Meryl Smith
• Marcella Yuvonne Smith, SPEECH PATHOLOGIST
• Maren Smith
• Margo B Smith, NP
• Morgan Smith
• Nikita Tiffany Smith
• Pamela B Smith, MD
• Qeunna Donte Smith, RN,FNP
• Ryan Elizabeth Smith

• Orthotist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Orthotist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.