Organization Active NPI

Kamilia Tagi Smith MD PLLC

Doing business as Charleston House Gynecology

  • Gynecology Physician
  • Dallas, TX
National Provider Identifier
1558826933
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2164912Kamilia Smith MD, PLLC3611 Swiss Ave Suite 201, Dallas, TX 75204Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory

Locations

3611 Swiss Ave
Ste 201
Dallas, TX 75204
Phone (214) 477-9239

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.