Individual provider Active NPI

Dave Smith

  • Transportation Broker
  • Columbia, SC
National Provider Identifier
1740999754
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Practice address
701 Gervais St # 150-203
Columbia, SC 29201-3066
Phone
(803) 926-7933
NPI assigned
Nov 17, 2022
Last updated
Nov 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

701 Gervais St # 150-203
Columbia, SC 29201-3066

Mailing address

701 Gervais St # 150-203
Columbia, SC 29201-3066
Phone (803) 926-7933

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 701GervaisSt Direct

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1740999754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 GERVAIS ST # 150-203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013066",
            "telephone_number": "803-926-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 GERVAIS ST # 150-203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013066",
            "telephone_number": "803-926-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "701GervaisSt",
            "affiliation": "N",
            "endpointDescription": "701 Gervais St",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Gervais St # 150-203",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292013066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.