Active NPI
William D Smith, M.D.
- Neurological Surgery Physician
- Las Vegas, NV
National Provider Identifier
1578520532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 7897
- Practice address
- 3061 S Maryland Pkwy
Suite 200
Las Vegas, NV 89109-2298 - Phone
- (702) 737-1948
- Fax
- (702) 737-7195
- NPI assigned
- Apr 26, 2006
- Last updated
- Aug 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 7897 | NV | Primary |
| Neurological Surgery Physician | 207T00000X | 22506 | AZ |
Addresses
Primary practice location
3061 S Maryland Pkwy
Suite 200
Las Vegas, NV 89109-2298
Mailing address
3061 S Maryland Pkwy
Suite 200
Las Vegas, NV 89109-2298
Phone (702) 737-1948
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140004333 | Other | NV | RAILROAD MEDICARE |
| 177809002 | Medicaid | AZ | |
| 1578520532 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22506 | AZ | MD | Neurological Surgery Physician |
Interoperability endpoints
- wsmith12812@direct.umcsn.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Las Vegas, NV
- NPI 1700292513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375401600000",
"number": "1578520532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3061 S MARYLAND PKWY",
"address_2": "SUITE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092298",
"telephone_number": "702-737-1948",
"fax_number": "702-737-7195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3061 S MARYLAND PKWY",
"address_2": "SUITE 200",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092298",
"telephone_number": "702-737-1948",
"fax_number": "702-737-7195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "WILLIAM",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2013-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NV",
"license": "7897",
"primary": true
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "AZ",
"license": "22506",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "140004333",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177809002",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578520532",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.