NPIMap

Individual provider Active NPI

David Mathias Smith, MD

  • Neurological Surgery Physician
  • Topeka, KS
National Provider Identifier
1770763732
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD61154864 Issued in WA
Practice address
2660 SW 3Rd St
Topeka, KS 66606-2442
Phone
(785) 368-0778
Fax
(785) 368-0739
NPI assigned
Nov 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 04-44524 KS
Neurological Surgery Physician 207T00000X 8866248-1205 UT
Neurological Surgery Physician 207T00000X MD61154864 WA Primary

Addresses

Primary practice location

2660 SW 3Rd St
Topeka, KS 66606-2442

Mailing address

550 Gage Blvd Ste 101
Richland, WA 99352-9532
Phone (509) 942-3627

Other practice location 1

1100 Goethals Dr Ste B
Richland, WA 99352
Phone (509) 942-3080

Other practice location 2

1055 N 300 W Ste 400
Provo, UT 84604-3359
Phone (801) 357-7404

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.smith1@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140719000065 UT Practitioner - Neurosurgery 9436375995 Reassigns benefits to 2 organizations
I20220826000482 CO Practitioner - Neurosurgery 9436375995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
New York Medical College, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

1760 E Ken Pratt Blvd
Suite 205 LPMC
Longmont, CO 80504-5311
Phone (720) 718-5280

4743 Arapahoe Ave
Suite 202
Boulder, CO 80303-1128
Phone (303) 415-4101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8866248-1205UTMDNeurological Surgery Physician
MD61154864WAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jun 1, 2022 Accepting new patients
Utah Neurological Clinic, PC Neurological Surgery CurrentSince Jul 1, 2014 Accepting new patients
Poudre Valley Medical Group, LLC Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Nov 15, 2014 Accepting new patients
Ihc Health Services Inc CurrentSince Nov 15, 2014 Accepting new patients
Ihc Health Services Inc Current Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1925 Mountain View Ave
Longmont, CO 80501
Phone (303) 776-1234

1760 E Ken Pratt Blvd
Ste 205
Longmont, CO 80504
Phone (720) 718-3930

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1055 N 300 W
Ste 400
Provo, UT 84604
Phone (801) 357-7404

400 C St
Salt Lake Cty, UT 84143
Phone (435) 688-4080

Interoperability endpoints

  • Direct secure messaging: dsmith1763052@wm.providencedirect.org
  • Direct secure messaging: dsmith109993@stormontvaildirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1770763732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GAGE BLVD STE 101",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529532",
            "telephone_number": "509-942-3627",
            "fax_number": "509-627-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SW 3RD ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062442",
            "telephone_number": "785-368-0778",
            "fax_number": "785-368-0739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Goethals Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "99352",
            "country_code": "US",
            "telephone_number": "509-942-3080",
            "fax_number": "509-942-3085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 N 300 W Ste 400",
            "address_purpose": "LOCATION",
            "city": "Provo",
            "state": "UT",
            "postal_code": "846043359",
            "country_code": "US",
            "telephone_number": "801-357-7404",
            "fax_number": "801-357-7587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "MATHIAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-07",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KS",
            "license": "04-44524",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "8866248-1205",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "WA",
            "license": "MD61154864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.smith1@direct.imail.org",
            "affiliation": "N",
            "address_1": "1055 N 300 W Ste 400",
            "city": "Provo",
            "state": "UT",
            "country_code": "US",
            "postal_code": "846043359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.