Active NPI
Mark Gregory Smith, RRT
- Registered Respiratory Therapist
- Rapid City, SD
National Provider Identifier
1629280599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- YM006446L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RC250 | DC | MD | Registered Respiratory Therapist |
| YM006446L | PA | MD | Registered 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.