Dennis L Smith, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2010077923 Issued in MO

Practice address

1600 N Morley St Ste A120
Moberly, MO 65270-3685

Phone

(660) 372-9595

Fax

(660) 372-9696

NPI assigned

Jul 4, 2006

Last updated

Feb 6, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency MedicineAlso: Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carroll County Memorial HospitalGroup PAC ID 2860485638, 64 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carroll County Memorial Hospital Hospital, Carrollton, MO, CCN 261332

Merit-based Incentive Payment System (MIPS)

Final score

69.76 of 100Reported as group

Quality

46.12

Promoting interoperability

100

Improvement activities

40

Cost

53.08

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Carroll County Memorial Hospital

  • Critical Access Hospital
  • Carrollton, MO
  • NPI 1528067113
  Medicare reassignment Care Compare group NPD
• Ripley Emergency Group, LLC

  • Emergency Medicine Physician
  • Kirksville, MO
  • NPI 1720606023
  Medicare reassignment NPD
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277

  MO

  Medicare reassignment NPD
• Hannibal Regional Healthcare System, Inc

  dba Hannibal Regional Hospital Home Health Agency

  • Home Health Agency
  • Hannibal, MO
  • NPI 1992726731
  NPD (past)
• Pegasus Emergency Group Moberly

  • Emergency Medicine Physician
  • Moberly, MO
  • NPI 1144453127
  NPD (past)
• Health Dynamics, LLC

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Milwaukee, WI
  • NPI 1255389581
  NPD (past)
• Holzer Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Gallipolis, OH
  • NPI 1508817248
  NPD (past)
• Ihc-Sacred Heart Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Eau Claire, WI
  • NPI 1992847826
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carroll County Memorial Hospital

  • Critical Access Hospital
  • Carrollton, MO
  • NPI 1528067113
  Care Compare affiliation

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1952331910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 551",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634010551",
            "telephone_number": "573-248-1300",
            "fax_number": "573-248-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MORLEY ST STE A120",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652703685",
            "telephone_number": "660-372-9595",
            "fax_number": "660-372-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Union Ave",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "652709449",
            "country_code": "US",
            "telephone_number": "660-263-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652015897",
            "country_code": "US",
            "telephone_number": "573-815-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DENNIS",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2010077923",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "36753-021",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2010077923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "930111565",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114292880",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "MA5092007",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30085400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952331910",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skilled Nursing Services LLC (Loma Linda)
• Smile Dental Associates, LLC
• Alicia Elizabeth Smith
• Caitlyn Justine Smith, COTA
• Claire Riane Smith, MD
• Jeff Scott Snodgrass, D.C.
• Rachael Elizabeth Soles, FNP-C
• Housam Soukieh, MD
• Kelley Diane Speakar, MA, CCC-SLP
• SRZ Op Valley View LLC (Valley View Health & Rehabilitation)

• Family Medicine Physician in Moberly, MO
• Providers in Moberly, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.