Active NPI
Corey Jason Smith, M.D.
- Internal Medicine Physician
- Richardson, TX
National Provider Identifier
1588824973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- R9148
- Practice address
- 1001 E Lookout Dr
Richardson, TX 75082-4144 - Phone
- (917) 656-3716
- NPI assigned
- Jun 10, 2008
- Last updated
- Nov 4, 2025
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R9148 | TX | Primary |
| Internal Medicine Physician | 207R00000X | A103750 | CA |
Addresses
Primary practice location
1001 E Lookout Dr
Richardson, TX 75082-4144
Mailing address
13291 Marbella Dr
Frisco, TX 75035-7810
Phone (917) 656-3716
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 |
|---|---|---|---|
| A103750 | CA | MD | Internal Medicine Physician |
| R9148 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1588824973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13291 MARBELLA DR",
"city": "FRISCO",
"state": "TX",
"postal_code": "750357810",
"telephone_number": "917-656-3716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E LOOKOUT DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750824144",
"telephone_number": "917-656-3716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "COREY",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "R9148",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A103750",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.