One Miami Medical, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ONE MIAMI MEDICAL, LLC

Practice address

4770 Biscayne Blvd Ste 680
Miami, FL 33137-3244

Phone

(786) 529-6172

NPI assigned

Nov 11, 2025

Last updated

Sep 30, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shaun Dane Villiers Smithson, MDNPI 1073744520

Title

President

Phone

(832) 799-4493

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shaun Dane Villiers Smithson

  • Interventional Cardiology Physician
  • Miami, FL
  • NPI 1073744520
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1548130768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 680",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373244",
            "telephone_number": "786-529-6172",
            "fax_number": "305-506-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BISCAYNE BLVD STE 680",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331373244",
            "telephone_number": "786-529-6172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21097 NE 27th Ct Ste 110",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801206",
            "country_code": "US",
            "telephone_number": "786-529-6172",
            "fax_number": "305-203-3927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE MIAMI MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-11",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "SMITHSON",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "DANE VILLIERS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-799-4493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One Medical Centers
• One Medical Group, Inc. (One Medical)
• One Medical Supplies Inc (#1 Medical Supplies)
• One Mental Health LLC
• One Miami Medical LLC
• One Milo
• One More Light Health Services Corp
• One Oculoplastics PLLC
• One on One Behavioral Services LLC
• One on One Home Health Care Inc

• Cardiovascular Disease Physician in Miami, FL
• Providers in Miami, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; 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.