Individual provider Active NPI

Daniel Joseph Smith, M.D.

  • Specialist
  • Aiken, SC
National Provider Identifier
1629027628
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
15380 Issued in SC
Practice address
110 Pepper Hill Way
Aiken, SC 29801
Phone
(803) 642-6060
Fax
(803) 642-0754
NPI assigned
May 8, 2006
Last updated
Aug 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 15380 SC Primary

Addresses

Primary practice location

110 Pepper Hill Way
Aiken, SC 29801

Mailing address

110 Pepper Hill Way
Aiken, SC 29801
Phone (803) 642-6060

Other identifiers 1

IdentifierTypeStateIssuer
153804MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041004000907 SC Practitioner - Ophthalmology 5698734978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Virginia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aiken Ophthalmology PCGroup PAC ID 6103885587, 6 clinicians
The Eye Center PAGroup PAC ID 4284728726, 6 clinicians

Practice addresses (Care Compare)

110 Pepper Hill Way
Aiken, SC 29801-2818
Phone (803) 642-6060

1655 Bernardin Ave
Columbia, SC 29204-2039
Phone (803) 256-0641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Ophthalmology PC CurrentSince Dec 1, 2002 Accepting new patients
The Eye Center PA CurrentSince Nov 1, 2024 Accepting new patients
Casc Aquisition Inc Past Accepting new patients

Locations

110 Pepper Hill Way
Aiken, SC 29801
Phone (803) 642-6060

410 University Pkwy
Ste 1560
Aiken, SC 29801
Phone (803) 641-6911

1655 Brabham Ave
Columbia, SC 29204
Phone (803) 254-5038

1655 Brabham Ave
Ste 100
Columbia, SC 29204
Phone (803) 256-0641

Organizations & group practices 3

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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1629027628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PEPPER HILL WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-642-6060",
            "fax_number": "803-642-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PEPPER HILL WAY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "29801",
            "telephone_number": "803-642-6060",
            "fax_number": "803-642-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "15380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153804",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.