David Smith, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5901001622 Issued in MI

Practice address

56 Benjamin Ave SE
Grand Rapids, MI 49506-1628

Phone

(616) 456-9744

Fax

(616) 451-0717

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Diabetic Foot PLLC

  • Podiatrist
  • Muskegon, MI
  • NPI 1558553628
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740282409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BENJAMIN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061628",
            "telephone_number": "616-456-9744",
            "fax_number": "616-451-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BENJAMIN AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061628",
            "telephone_number": "616-456-9744",
            "fax_number": "616-451-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901001622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4461768",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clare Elizabeth Smith, LPN
• Claudia Smith
• Courtney Lyn Smith
• Dana Smith
• David Smith Jr.
• David Ross Smith, RPH
• Dean T Smith, MD
• Douglas Bruce Smith, DO
• Elizabeth Anne Smith, N.P.
• Emma Lynne Smith

• Podiatrist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Podiatrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.