Wallace Harden Smith II, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

9526 Issued in LA

Practice address

3120 Cambridge Rd
Charlotte, NC 28209-1304

Phone

(704) 499-6954

NPI assigned

Aug 23, 2007

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

Credentials

Doctor of Medicine

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.

• Louisiana Department of Health, Department of Health and Hospitals

  • Skilled Nursing Facility
  • New Orleans, LA
  • NPI 1730674557
  NPD (past)

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1871786830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 CAMBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091304",
            "telephone_number": "704-499-6954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 CAMBRIDGE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282091304",
            "telephone_number": "704-499-6954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WALLACE",
        "middle_name": "HARDEN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "9526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Smith Jr., LCSW
• Tyler Smith, DPT
• Tyonna Smith
• Veronica Rae Ann Smith, RN, MSN, CNP
• Wakesha Smith
• Wayne Payton Smith, PHARMD
• Weston Emmett Smith, MD
• Weston James Smith, NC CPSS
• William Morgan Smith II
• Lindsay Marie Smits, CCC-SLP

• Psychiatry Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.