Individual provider Active NPI

Mark Gregory Smith, RRT

  • Registered Respiratory Therapist
  • Rapid City, SD
National Provider Identifier
1629280599
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Respiratory TherapistTaxonomy code 227900000X
License
YM006446L Issued in PA
Practice address
4549 Candlewood PL
Apt. 305
Rapid City, SD 57702-1605
Phone
(240) 422-1979
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Respiratory Therapist 227900000X RC250 DC
Registered Respiratory Therapist 227900000X YM006446L PA Primary

Addresses

Primary practice location

4549 Candlewood PL
Apt. 305
Rapid City, SD 57702-1605

Mailing address

4549 Candlewood PL
Apt. 305
Rapid City, SD 57702-1605
Phone (240) 422-1979

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
RC250DCMDRegistered Respiratory Therapist
YM006446LPAMDRegistered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629280599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 CANDLEWOOD PL",
            "address_2": "APT. 305",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021605",
            "telephone_number": "240-422-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4549 CANDLEWOOD PL",
            "address_2": "APT. 305",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577021605",
            "telephone_number": "240-422-1979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARK",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "DC",
            "license": "RC250",
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "PA",
            "license": "YM006446L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.