Individual provider Active NPI

Dominique Smith

  • Podiatric Assistant
  • San Antonio, TX
National Provider Identifier
1598534588
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric AssistantTaxonomy code 211D00000X
License
NHA346213 Issued in TX
Practice address
9511 Perrin Beitel Rd Apt 102
San Antonio, TX 78217-3538
Phone
(713) 393-9739
NPI assigned
Jan 1, 2024
Last updated
Jan 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Assistant 211D00000X NHA346213 TX Primary

Addresses

Primary practice location

9511 Perrin Beitel Rd Apt 102
San Antonio, TX 78217-3538

Mailing address

9511 Perrin Beitel Rd Apt 102
San Antonio, TX 78217-3538
Phone (713) 393-9739

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NHA346213TXMDPodiatric Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1598534588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 PERRIN BEITEL RD APT 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173538",
            "telephone_number": "713-393-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9511 PERRIN BEITEL RD APT 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173538",
            "telephone_number": "713-393-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOMINIQUE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": "TX",
            "license": "NHA346213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.