Active NPI
Josh Brian Smith
- Certified Registered Nurse Anesthetist
- Rapid City, SD
National Provider Identifier
1730456880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- CR000872
- Practice address
- 216 Anamaria Dr
Rapid City, SD 57701-7366 - Phone
- (605) 721-4700
- Fax
- (605) 721-4708
- NPI assigned
- Nov 17, 2011
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704267742 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | CR000872 | SD | Primary |
Addresses
Primary practice location
216 Anamaria Dr
Rapid City, SD 57701-7366
Mailing address
13510 Earl CT
Rapid City, SD 57702-7406
Phone (586) 596-7080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Black Hills Surgical Hospital, LLP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Certified Registered Nurse Anesthetist
- Rapid City, SD
- NPI 1912596545
-
- Surgery Physician
- Rapid City, SD
- NPI 1417304924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1730456880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13510 EARL CT",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577027406",
"telephone_number": "586-596-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 ANAMARIA DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577017366",
"telephone_number": "605-721-4700",
"fax_number": "605-721-4708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "JOSH",
"middle_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704267742",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SD",
"license": "CR000872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.