Darrell Smith Jr.

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

47-0891863 Issued in TX

Practice address

6532 Burling St
Waco, TX 76712-7577

Phone

(479) 283-7967

NPI assigned

Apr 30, 2015

Last updated

Apr 30, 2015By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phenomenon Inc.

  • Ambulatory Family Planning Facility
  • Waco, TX
  • NPI 1679957062
  NPD (past) Authorized official

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430352000000",
    "number": "1881071769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6532 BURLING ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127577",
            "telephone_number": "479-283-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6532 BURLING ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127577",
            "telephone_number": "479-283-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DARRELL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "TX",
            "license": "47-0891863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lee Smith, LMSW
• Catherine Ann Smith, M.ED., LPC
• Chandler Dianne Smith, DDS
• Chloe Smith, LCSW
• Daniel Augustus Smith, D.O.
• David Benjamin Smith, PHARMD
• James Morris Smith, M.D.
• James William Smith, MD
• Jamie Smith
• Justin Smith

• Ambulatory Family Planning Facility in Waco, TX
• Providers in Waco, TX by specialty
• Ambulatory Family Planning Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; 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.