Individual provider Active NPI

De'Ron Smith, OWDS, CCME, CDCA,

  • Case Manager/Care Coordinator
  • Cincinnati, OH
National Provider Identifier
1790287480
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1705 Section Rd
Cincinnati, OH 45237-3313
Phone
(513) 512-2169
Fax
(513) 407-8959
NPI assigned
Mar 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH Primary

Addresses

Primary practice location

1705 Section Rd
Cincinnati, OH 45237-3313

Mailing address

1705 Section Rd
Cincinnati, OH 45237-3313
Phone (513) 512-2169

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inspirational Speaking,LLC/I Dream Academy CurrentSince Jun 2, 2024 Accepting new patients

Locations

1705 Section Rd
Cincinnati, OH 45237
Phone (513) 407-8984

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1790287480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 SECTION RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373313",
            "telephone_number": "513-512-2169",
            "fax_number": "513-407-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 SECTION RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452373313",
            "telephone_number": "513-512-2169",
            "fax_number": "513-407-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DE'RON",
        "name_prefix": "Mr.",
        "credential": "OWDS, CCME, CDCA,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-08",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.