Active NPI
David L Smith, MD
- Neurology Physician
- Edmond, OK
National Provider Identifier
1740215169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 24638
- Practice address
- 1257 E 33Rd St
Edmond, OK 73013-6307 - Phone
- (405) 813-2600
- Fax
- (405) 813-2633
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 24638 | OK | Primary |
Addresses
Primary practice location
1257 E 33Rd St
Edmond, OK 73013-6307
Mailing address
Dept 960321
Oklahoma City, OK 73196-0321
Phone (405) 292-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200069010A | Medicaid | OK |
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 |
|---|---|---|---|
| 24638 | OK | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bryan Physician Network | Neurology | Past | Accepting new patients |
| Neurology Associates, P.C. | Neurology | Past | Accepting new patients |
| Neurosurgical Services PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IAJFAA
Organizations & group practices 3
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.
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1154575546
-
- Neurology Physician
- Lincoln, NE
- NPI 1437195328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470700800000",
"number": "1740215169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 960321",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731960321",
"telephone_number": "405-292-5500",
"fax_number": "405-292-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 E 33RD ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730136307",
"telephone_number": "405-813-2600",
"fax_number": "405-813-2633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DAVID",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2016-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "24638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200069010A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.