NPIMap

Organization Active NPI

Steven a. Smith, M.D., Dermatology, P.C.

Doing business as Smith Dermatology Clinic

  • Dermatology Physician
  • Tulsa, OK
National Provider Identifier
1710900097
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
15063 Issued in OK
Legal business name
STEVEN A. SMITH, M.D., DERMATOLOGY, P.C.
Doing business as
Smith Dermatology Clinic
Practice address
9940 E 81St Street
Tulsa, OK 74133-4501
Phone
(918) 664-9881
NPI assigned
Jul 26, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Steven A. Smith, M.D,NPI 1629057690
Title
Physician
Phone
(918) 664-9881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 15063 OK Primary

Addresses

Primary practice location

9940 E 81St Street
Tulsa, OK 74133-4501

Mailing address

PO Box 470324
Tulsa, OK 74147-0324
Phone (918) 664-9881

Other names 1

  • Smith Dermatology Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1710900097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470324",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741470324",
            "telephone_number": "918-664-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 E 81ST STREET",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334501",
            "telephone_number": "918-664-9881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN A. SMITH, M.D., DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-664-9881",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "15063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith Dermatology Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.