J D Smith DPM P C

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

#212 Issued in AL

Legal business name

J D SMITH DPM P C

Practice address

202 Rosa LN
Florence, AL 35630-1769

Phone

(256) 764-1806

Fax

(256) 760-8442

NPI assigned

Mar 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John David Smith, DPM

Title

President

Phone

(256) 764-1806

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 2

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

• J D Smith, DPM

  • Primary Podiatric Medicine Podiatrist
  • Florence, AL
  • NPI 1275581704
  Medicare reassignment NPD
• Joshua Blake Burchell, DPM

  • Foot & Ankle Surgery Podiatrist
  • Florence, AL
  • NPI 1083286306

  Single Specialty

  NPD

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1992977102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 ROSA LN",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301769",
            "telephone_number": "256-764-1806",
            "fax_number": "256-760-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ROSA LN",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301769",
            "telephone_number": "256-764-1806",
            "fax_number": "256-760-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J D SMITH DPM P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-764-1806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AL",
            "license": "#212",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "AL",
            "license": "#212",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "51017836",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "480027775",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Irie Oasis LLC
• Richard Chadwick Irons, PHARM D
• Ricky Lee Irons, MD
• Mina Iskander
• Island Medical Coosa Valley LLC
• Bethany Ann Jackson, M.D.
• Henry Clarke Jackson Jr., ATC
• Jasmin Monica Jacobs
• Maegan Elizabeth Jacobs, FNP-C
• Seth Jacobs, DPT

• Primary Podiatric Medicine Podiatrist in Florence, AL
• Providers in Florence, AL by specialty
• Primary Podiatric Medicine Podiatrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.