Richard Michael Smith, CONTRACTOR

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

19466 Center St
Trimble, OH 45782-1119

Phone

(740) 818-9380

NPI assigned

Dec 1, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1821708728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 PINEWOOD CT",
            "city": "GLOUSTER",
            "state": "OH",
            "postal_code": "457329159",
            "telephone_number": "740-818-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19466 CENTER ST",
            "city": "TRIMBLE",
            "state": "OH",
            "postal_code": "457821119",
            "telephone_number": "740-818-9380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11400 Pinewood Ct",
            "address_purpose": "LOCATION",
            "city": "Glouster",
            "state": "OH",
            "postal_code": "457329159",
            "country_code": "US",
            "telephone_number": "740-818-9380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "RICHARD",
        "middle_name": "MICHAEL",
        "credential": "CONTRACTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor, Home Modifications",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Trimble, OH
• Providers in Trimble, OH by specialty
• Home Modifications Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.