Individual provider Active NPI

Joel Davis Smith, FNP-C

  • Family Nurse Practitioner
  • Greenwood Village, CO
National Provider Identifier
1689329195
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0997351 Issued in CO
Practice address
7400 E Crestline Cir Ste 100
Greenwood Village, CO 80111-3656
Phone
(303) 792-3242
NPI assigned
Feb 14, 2022
Last updated
Feb 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0997351 CO Primary

Addresses

Primary practice location

7400 E Crestline Cir Ste 100
Greenwood Village, CO 80111-3656

Mailing address

7400 E Crestline Cir Ste 100
Greenwood Village, CO 80111-3656
Phone (303) 792-3242

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address JoelS@advancedENTDenver.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929001569 CO Practitioner - Nurse Practitioner 4183078702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Ear Nose and Throat PCGroup PAC ID 4183616352, 2 clinicians

Practice addresses (Care Compare)

6110 Greenwood Plaza Blvd
Greenwood Village, CO 80111-4803
Phone (303) 792-3242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0997351COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ear, Nose & Throat, PC CurrentSince Aug 24, 2023 Accepting new patients

Locations

6110 Greenwood Plaza Blvd
Greenwood Village, CO 80111
Phone (303) 792-3242

7400 E Crestline Cir
Ste 100
Greenwood Village, CO 80111
Phone (303) 770-4227

Interoperability endpoints

  • Direct secure messaging: joels@advancedentdenver.com
  • Direct secure messaging: jsmith@directaddress.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1689329195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 E CRESTLINE CIR STE 100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113656",
            "telephone_number": "303-792-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E CRESTLINE CIR STE 100",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113656",
            "telephone_number": "303-792-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOEL",
        "middle_name": "DAVIS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0997351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JoelS@advancedENTDenver.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/a",
            "address_1": "7400 E Crestline Cir Ste 100",
            "city": "Greenwood Village",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801113656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.