Ruston Garrett Smith

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1405 N 4TH Ave
Durant, OK 74701-3330

Phone

(580) 745-2829

Fax

(580) 745-2518

NPI assigned

Aug 5, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1669146387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 W UNIVERSITY BLVD APT 11",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013019",
            "telephone_number": "870-692-1259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 N 4TH AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013330",
            "telephone_number": "580-745-2829",
            "fax_number": "580-745-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RUSTON",
        "middle_name": "GARRETT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Smith
• Hope A Smith
• Jennifer Meagen Smith, CPTA
• Kelsey Lloyd Smith
• Kim Smith
• Kristy M Smothers, ARNP
• Jaylon Sneed, COTA
• Southeastern Oklahoma Eye Clinic (Clay-Rhynes Eye Clinic)
• Southeastern Oklahoma Family Services
• Southeastern Oklahoma Family Services, Inc.

• Student in an Organized Health Care Education/Training Program in Durant, OK
• Providers in Durant, OK by specialty
• Student in an Organized Health Care Education/Training Program in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.