Active NPI
Thomas Smith, M.D.
- Health Service Clinic/Center
- Jupiter, FL
National Provider Identifier
1902258833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- D0079396
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17009 | AL | MD | Health Service Clinic/Center |
| D0079396 | MD | MD | Health Service Clinic/Center |
| 2013002834 | MO | MD | Health Service Clinic/Center |
| MD444912 | PA | MD | Health Service Clinic/Center |
| 34187 | SC | MD | Health 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.