David Joseph Smith, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO106805 Issued in MO

Practice address

197 McCleary Rd.
Dept of Veterans Affairs Excelsior Springs Cboc
Excelsior Springs, MO 64024

Phone

(816) 922-2970

Fax

(816) 637-2480

NPI assigned

Feb 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Medical Arts Centers Inc

  • Family Medicine Physician
  • Excelsior SPGS, MO
  • NPI 1114084738
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1801868872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 MCCLEARY RD.",
            "address_2": "DEPT OF VETERANS AFFAIRS EXCELSIOR SPRINGS CBOC",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "64024",
            "telephone_number": "816-922-2970",
            "fax_number": "816-637-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 MCCLEARY RD.",
            "address_2": "DEPT OF VETERANS AFFAIRS EXCELSIOR SPRINGS CBOC",
            "city": "EXCELSIOR SPRINGS",
            "state": "MO",
            "postal_code": "64024",
            "telephone_number": "816-922-2970",
            "fax_number": "816-637-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DO106805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243752300",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BDBS OF KC INDIVIDUAL #",
            "identifier": "24462057",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Paul Schutz, M.D.
• Teresa Joan Short, FNP
• Kelly Leigh Shue, NP
• Alexandria Skelton
• Skin Equity Dermatology & Aesthetics LLC
• Doris Rean Smith
• Michelle Smith
• Heather Danielle Steakley, LPN
• Step by Step Counseling Solutions, Inc.
• Amy Michelle Streicher

• Family Medicine Physician in Excelsior Springs, MO
• Providers in Excelsior Springs, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.