Individual provider Active NPI

Thomas Smith, M.D.

  • Health Service Clinic/Center
  • Jupiter, FL
National Provider Identifier
1902258833
Registry record updated Apr 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
D0079396 Issued in MD
Practice address
1001 N US Highway 1
Suite 500
Jupiter, FL 33477-4482
Phone
(561) 758-2111
NPI assigned
Jul 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X D0079396 MD Primary
Health Service Clinic/Center 261QH0100X 34187 SC
Health Service Clinic/Center 261QH0100X 2013002834 MO
Health Service Clinic/Center 261QH0100X MD444912 PA
Health Service Clinic/Center 261QH0100X 17009 AL

Addresses

Primary practice location

1001 N US Highway 1
Suite 500
Jupiter, FL 33477-4482

Mailing address

1001 N US Highway 1
Suite 500
Jupiter, FL 33477-4482
Phone (561) 758-2111

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
17009ALMDHealth Service Clinic/Center
D0079396MDMDHealth Service Clinic/Center
2013002834MOMDHealth Service Clinic/Center
MD444912PAMDHealth Service Clinic/Center
34187SCMDHealth Service Clinic/Center

NPI Registry JSON

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

{
    "created_epoch": "1467504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1902258833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N US HIGHWAY 1",
            "address_2": "SUITE 500",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774482",
            "telephone_number": "561-758-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N US HIGHWAY 1",
            "address_2": "SUITE 500",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334774482",
            "telephone_number": "561-758-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-03",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MD",
            "license": "D0079396",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "SC",
            "license": "34187",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MO",
            "license": "2013002834",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PA",
            "license": "MD444912",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AL",
            "license": "17009",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.