Eric Herbert Smith, D.O.

Individual provider Active NPI General Practice Physician · Dacono, CO

NPI 1679664130 · NPPES record last updated May 7, 2008

Key facts

NPI
1679664130
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
225531 (CO)
Practice address
118 8TH St
Dacono, CO 80514-9301
Phone
(303) 833-4885
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
225531COMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Metro Family Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 225531 CO Yes

Addresses

Primary practice location

118 8TH St
Dacono, CO 80514-9301

Mailing address

118 8TH St
Dacono, CO 80514-9301
Phone (303) 833-4885

Other providers in Dacono, CO

All providers in Dacono, CO · General Practice Physician in Colorado

Sources for this page

Verify at the official NPI Registry.