Organization Active NPI

David G. Smith, M.D., a Professional Corporation

  • Orthopaedic Surgery Physician
  • La Jolla, CA
National Provider Identifier
1548460272
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G37087 Issued in CA
Legal business name
DAVID G. SMITH, M.D., A PROFESSIONAL CORPORATION
Practice address
9900 Genesee Ave Ste C
La Jolla, CA 92037-1210
Phone
(858) 453-8060
Fax
(858) 453-8260
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Dr. David G. Smith, MDNPI 1962497636
Title
Owner
Phone
(858) 453-8060

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X G37087 CA Primary

Addresses

Primary practice location

9900 Genesee Ave Ste C
La Jolla, CA 92037-1210

Mailing address

4510 Executive Dr., Ste 125
San Diego, CA 92121-3054
Phone (858) 453-8060

National Provider Directory

National Provider Directory

Locations

4510 Executive Dr
Ste 125
San Diego, CA 92121
Phone (858) 643-5650

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": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1548460272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 EXECUTIVE DR., STE 125",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213054",
            "telephone_number": "858-453-8060",
            "fax_number": "858-453-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 GENESEE AVE STE C",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371210",
            "telephone_number": "858-453-8060",
            "fax_number": "858-453-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. SMITH, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-453-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G37087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.