Individual provider Active NPI

David M Smith, PA

  • Surgical Physician Assistant
  • Arlington, TX
National Provider Identifier
1609828516
Registry record updated Nov 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA03617 Issued in TX
Practice address
1001 N Waldrop Dr
Suite 403
Arlington, TX 76012-4705
Phone
(817) 701-4253
Fax
(817) 701-4258
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA03617 TX Primary

Addresses

Primary practice location

1001 N Waldrop Dr
Suite 403
Arlington, TX 76012-4705

Mailing address

1001 N Waldrop Dr
Suite 403
Arlington, TX 76012-4705
Phone (817) 701-4253

Other identifiers 1

IdentifierTypeStateIssuer
8N3817OtherTXBCBS OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100915001014 TX Practitioner - Physician Assistant 2163547050 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nobility Medical PLLCGroup PAC ID 6002196300, 22 clinicians
DCS Medical PAGroup PAC ID 0042507600, 155 clinicians

Practice addresses (Care Compare)

1061 N Coleman St
Suite 10
Prosper, TX 75078-2317
Phone (940) 365-9400

3201 University Dr E
135 Integrity Urgent Care
Bryan, TX 77802-3481
Phone (979) 703-1832

808 N Nolan River Rd
Integrity Urgent Care
Cleburne, TX 76033-7012
Phone (817) 526-5509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03617TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DCS Medical PA CurrentSince Mar 1, 2023 Accepting new patients
Nobility Medical PLLC CurrentSince Aug 16, 2025 Accepting new patients
DCS Medical PA CurrentSince Mar 1, 2023 Accepting new patients

Locations

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

2901 W 7th Ave
Corsicana, TX 75110
Phone (903) 616-0111

8700 US Highway 380
Ste 200
Cross Roads, TX 76227
Phone (940) 365-9400

1061 N Coleman St
Ste 10
Prosper, TX 75078
Phone (940) 365-9400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1609828516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N WALDROP DR",
            "address_2": "SUITE 403",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124705",
            "telephone_number": "817-701-4253",
            "fax_number": "817-701-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N WALDROP DR",
            "address_2": "SUITE 403",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124705",
            "telephone_number": "817-701-4253",
            "fax_number": "817-701-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA03617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8N3817",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.