Active NPI
Terry Glen Smith, MD
- Orthopaedic Surgery Physician
- Kamuela, HI
National Provider Identifier
1669559209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 6367
- Practice address
- 67-1123 Mamalahoa Hwy
Suite 120
Kamuela, HI 96743-8451 - Phone
- (808) 885-5236
- Fax
- (808) 885-4126
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 6367 | HI | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 6367 | HI |
Addresses
Primary practice location
67-1123 Mamalahoa Hwy
Suite 120
Kamuela, HI 96743-8451
Mailing address
PO Box 2650
Kamuela, HI 96743-2650
Phone (808) 885-5236
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K07806-9 | Other | HI | HMSA PROVIDER NUMBER |
| 522260 | Medicaid | HI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6367 | HI | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1669559209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2650",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967432650",
"telephone_number": "808-885-5236",
"fax_number": "808-885-4126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67-1123 MAMALAHOA HWY",
"address_2": "SUITE 120",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438451",
"telephone_number": "808-885-5236",
"fax_number": "808-885-4126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TERRY",
"middle_name": "GLEN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "HI",
"license": "6367",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "HI",
"license": "6367",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROVIDER NUMBER",
"identifier": "K07806-9",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "522260",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.