Individual provider Active NPI

Rene Smit, M.D.

  • Specialist
  • Port Huron, MI
National Provider Identifier
1821017740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
4301034476 Issued in MI
Practice address
1005 River St
Suite 3
Port Huron, MI 48060-3468
Phone
(810) 982-6720
Fax
(810) 982-6026
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 4301034476 MI Primary

Addresses

Primary practice location

1005 River St
Suite 3
Port Huron, MI 48060-3468

Mailing address

1005 River St
Suite 3
Port Huron, MI 48060-3468
Phone (810) 982-6720

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301034476MIMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821017740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 RIVER ST",
            "address_2": "SUITE 3",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603468",
            "telephone_number": "810-982-6720",
            "fax_number": "810-982-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 RIVER ST",
            "address_2": "SUITE 3",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603468",
            "telephone_number": "810-982-6720",
            "fax_number": "810-982-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIT",
        "first_name": "RENE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "4301034476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • 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.