Corey Dixon Smith, CPRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

PR0591 Issued in MD

Practice address

14 S Broadway
Baltimore, MD 21231-1712

Phone

(410) 276-1773

Fax

(410) 276-2056

NPI assigned

Nov 2, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1841907474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311712",
            "telephone_number": "410-276-1773",
            "fax_number": "410-276-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S BROADWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311712",
            "telephone_number": "410-276-1773",
            "fax_number": "410-276-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COREY",
        "middle_name": "DIXON",
        "credential": "CPRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MD",
            "license": "PR0591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CPRS",
            "identifier": "PR0591",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Smith
• Claude B Smith, MD
• Clay Edward Smith, M.D.
• Colleen L Smith, PT, DPT
• Colton J Smith, DO
• Daniela Smith, MD
• Danielle Kadejah Smith
• David Michael Smith, IDMT
• Dawn Smith
• Deborah E. Arnold Smith, CRNP

• Peer Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Peer Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.