=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396305371
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CONOR ALAN SMITH MD
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/20/2019
-----------------------------------------------------
Last Update Date | 08/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 701 S NEW BALLAS RD STE 510
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63141-8726
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-251-6710
-----------------------------------------------------
Fax | 314-251-6712
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 701 S NEW BALLAS RD STE 510
-----------------------------------------------------
City | SAINT LOUIS
-----------------------------------------------------
State | MO
-----------------------------------------------------
Zip | 63141-8726
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-251-6710
-----------------------------------------------------
Fax | 314-251-6712
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | U8823
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207X00000X
-----------------------------------------------------
Taxonomy Name | Orthopaedic Surgery Physician
-----------------------------------------------------
License Number | 2025029952
-----------------------------------------------------
License Number State | MO
-----------------------------------------------------