NPI Code Detail JSON Logo

1700236643 NPI number — CORY DANIEL SMITH M.D.

NPI Number: 1700236643
Health Care Provider/Practitioner: CORY DANIEL SMITH M.D.

Information about “1700236643” NPI (CORY DANIEL SMITH M.D.) exists in 1700236643 in HTML format HTML  |  1700236643 in plain Text format TXT  |  1700236643 in PDF (Portable Document Format) PDF  |  1700236643 in an XML format XML  formats.

NPI Number : 1700236643 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700236643",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "CORY",
    "MiddleName": "DANIEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "701 GROVE RD",
    "SecondLineMailingAddress": "2ND FLOOR SUPPORT TOWER",
    "MailingAddressCityName": "GREENVILLE",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29605-4210",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "864-455-7878",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "701 GROVE RD",
    "SecondLinePracticeLocationAddress": "2ND FLOOR SUPPORT TOWER",
    "PracticeLocationAddressCityName": "GREENVILLE",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29605-4210",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-455-7878",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/21/2016",
    "LastUpdateDate": "07/21/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207X00000X",
        "TaxonomyName": "Orthopaedic Surgery Physician",
        "LicenseNumber": "LL39868",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.