Organization Active NPI

Doc Smiley's Urgent Care LLC

  • Urgent Care Clinic/Center
  • Santa Rosa Beach, FL
National Provider Identifier
1942611652
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
OS12341 Issued in FL
Legal business name
DOC SMILEY'S URGENT CARE LLC
Practice address
43 Cassine Way
Unit 102
Santa Rosa Beach, FL 32459-0456
Phone
(850) 231-1919
NPI assigned
May 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Authorized official

Name
Christine Smiley, D.O.NPI 1356358402
Title
Physician Owner
Phone
(850) 231-1919

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X OS12341 FL Primary

Addresses

Primary practice location

43 Cassine Way
Unit 102
Santa Rosa Beach, FL 32459-0456

Mailing address

43 Cassine Way
Unit 102
Santa Rosa Beach, FL 32459-0456
Phone (850) 231-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141020001400 FL Part B Supplier - Clinic/Group Practice 0941421713 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Rosa Beach, FL

National Provider Directory

National Provider Directory

Locations

43 Cassine Way
Ste 102
Santa Rsa Bch, FL 32459
Phone (303) 478-7657

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1942611652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 CASSINE WAY",
            "address_2": "UNIT 102",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590456",
            "telephone_number": "850-231-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 CASSINE WAY",
            "address_2": "UNIT 102",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590456",
            "telephone_number": "850-231-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC SMILEY'S URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "SMILEY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "850-231-1919",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "FL",
            "license": "OS12341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.