Organization Active NPI

One Miami Medical LLC

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1639067770
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ONE MIAMI MEDICAL LLC
Practice address
685 NE 59TH St
Miami, FL 33137-2362
Phone
(832) 799-4493
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Dr. Shaun Dane Villiers Smithson, MD
Title
President
Phone
(832) 799-4493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

685 NE 59TH St
Miami, FL 33137-2362

Mailing address

685 NE 59TH St
Miami, FL 33137-2362
Phone (832) 799-4493

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1639067770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 NE 59TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372362",
            "telephone_number": "832-799-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 NE 59TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372362",
            "telephone_number": "832-799-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE MIAMI MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "SMITHSON",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "DANE VILLIERS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-799-4493",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.