Active NPI
Kamilia Tagi Smith MD PLLC
Doing business as Charleston House Gynecology
- Gynecology Physician
- Dallas, TX
National Provider Identifier
1558826933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- KAMILIA TAGI SMITH MD PLLC
- Doing business as
- Charleston House Gynecology
- Practice address
- 3611 Swiss Ave Ste 201
Dallas, TX 75204-6245 - Phone
- (214) 477-9239
- NPI assigned
- Feb 9, 2019
- Last updated
- Apr 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kamilia Tagi Smith, MD
- Title
- Physician/Practice Owner
- Phone
- (214) 477-9239
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | NU | Primary |
Addresses
Primary practice location
3611 Swiss Ave Ste 201
Dallas, TX 75204-6245
Mailing address
3611 Swiss Ave Ste 201
Dallas, TX 75204-6245
Phone (214) 821-3313
Other names 1
- Charleston House Gynecology
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2164912 | Kamilia Smith MD, PLLC | Certificate of waiver | Apr 15, 2027 |
National Provider Directory
National Provider DirectoryLocations
3611 Swiss Ave
Ste 201
Dallas, TX 75204
Phone (214) 477-9239
Interoperability endpoints
- https://api.platform.athenahealth.com/19154/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554768000000",
"number": "1558826933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 SWISS AVE STE 201",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046245",
"telephone_number": "214-821-3313",
"fax_number": "214-247-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 SWISS AVE STE 201",
"city": "DALLAS",
"state": "TX",
"postal_code": "752046245",
"telephone_number": "214-477-9239"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAMILIA TAGI SMITH MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-09",
"last_updated": "2019-04-09",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KAMILIA",
"authorized_official_middle_name": "TAGI",
"authorized_official_title_or_position": "PHYSICIAN/PRACTICE OWNER",
"authorized_official_telephone_number": "214-477-9239",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Charleston House Gynecology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Charleston House Gynecology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.