Larry Alan Smith, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

000E21510 Issued in CA

Practice address

1041 4TH St
Ste B
Santa Rosa, CA 95404

Phone

(707) 526-4777

Fax

(707) 526-8809

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Santa Rosa Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Santa Rosa, CA
  • NPI 1578631172
  NPD
• A.V.C.H., Inc.

  • Skilled Nursing Facility
  • Sebastopol, CA
  • NPI 1114902616
  NPD (past)
• California Avant-Garde Physicians

  • Foot & Ankle Surgery Podiatrist
  • Sonoma, CA
  • NPI 1578075982
  NPD (past)
• Noel Serrano MD PC

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1154010072
  NPD (past)
• Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc

  • Rehabilitation Clinic/Center
  • Tustin, CA
  • NPI 1548940885
  NPD (past)
• Step Up Podiatry Professional Corporation

  • Foot & Ankle Surgery Podiatrist
  • Rohnert Park, CA
  • NPI 1902280928
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1609979822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 4TH ST",
            "address_2": "STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "707-526-4777",
            "fax_number": "707-526-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 4TH ST",
            "address_2": "STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "707-526-4777",
            "fax_number": "707-526-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LARRY",
        "middle_name": "ALAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "000E21510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704019",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordyn Alexis Smith, NP
• Josephine Smith, D.C.
• Justin Smith
• Kay L. Smith
• Kristen Smith
• Leo Arthur Smith, MD
• Leon Ross Smith, DNP
• Leona M Smith, MFT
• Lydia Ann Smith, FNP
• Lyndy Mae Smith

• All providers in Santa Rosa, CA
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; 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.