DR. DUSTIN WADE SMITH (NPI# 1164468344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164468344 |
| Entity Type | Individual |
| Full Name | DR. DUSTIN WADE SMITH |
| Credential | DPM |
| Practice Address |
1761 Troup Hwy Tyler TX 75701-5869 |
| Practice Telephone | 9035930987 |
| Practice Fax Number | 9035923309 |
| Mailing Telephone | 9035930987 |
| Mailing Fax Number | 9035923309 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1717 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | SCOTT AND WHITE | 1164468344 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538384 | Dustin Tyler Smith | Pharmacist | 3615 19th St # Ms 108, Lubbock, TX 79410-1203 | 2020-11-05 |
| 1235751686 | Dustin Smith | Speech-Language Pathologist | 128 Chestnut Ave # 2, Jersey City, NJ 07306-1418 | 2020-05-08 |
| 1003380775 | Dustin Hadley Smith | Chiropractor | 4220 Lucile Dr Ste 2, Lincoln, NE 68506-6004 | 2019-01-16 |
| 1831551951 | Dustin W. Smith | Student in an Organized Health Care Education/Training Program | 4008 W 104th St S, Jenks, OK 74037-1914 | 2016-03-28 |
| 1669863528 | Dustin Smith | Occupational Therapy Assistant | 1423 Anderson Ridge Rd, Greer, SC 29651-7664 | 2015-02-13 |
| 1447667175 | Dustin Smith | Pharmacist | 517 W 27th St., Hays, KS 67601 | 2014-07-15 |
| 1477831071 | Dustin M Smith | Pharmacist | 1147 Dartmouth St, Chattanooga, TN 37405-3009 | 2011-07-30 |
| 1467774380 | Dustin Phillip Smith | Chiropractor | 285 Plaza Avenue, Eastman, GA 31023 | 2010-02-19 |
| 1962049528 | Dustin Smith | Counselor | 2209 9th St, Tuscaloosa, AL 35401-2300 | 2019-12-03 |
| 1356803142 | Dustin Smith | Student in an Organized Health Care Education/Training Program | 1924 Alcoa Hwy # U-109, Knoxville, TN 37920-1511 | 2019-04-02 |
| Street Address |
1761 TROUP HWY |
| City | TYLER |
| State | TX |
| Zip Code | 75701-5869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801407887 | Greater Foundation Foot Clinics East Texas, Pllc | Podiatrist | 1761 Troup Hwy, Tyler, TX 75701-5869 | 2020-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992075063 | Anderson Podiatry Pllc | Podiatrist | 1407 S Fleishel Ave Ste 301, Tyler, TX 75701-3388 | 2012-01-06 |
| 1710276662 | East Texas Foot and Ankle Centers, Pa | Podiatrist | 6603 Oak Hill Blvd, Tyler, TX 75703-0586 | 2011-03-31 |
| 1104125780 | Keith Robert Crandall | Podiatrist | 9209 Stonebank Xing, Tyler, TX 75703-0829 | 2011-03-21 |
| 1689902918 | James Edward Kent | Podiatrist | 6603 Oak Hill Blvd., Tyler, TX 75703-3604 | 2009-11-24 |
| 1225137185 | East Texas Podiatry Associates, P.C. | Podiatrist | 1028 E Idel, Suite A, Tyler, TX 75701 | 2006-09-21 |
| 1285644302 | Evangela L Anderson | Podiatrist | 1407 S Fleishel Ave, Ste. 301, Tyler, TX 75701-3388 | 2006-08-09 |
| 1801407887 | Greater Foundation Foot Clinics East Texas, Pllc | Podiatrist | 1761 Troup Hwy, Tyler, TX 75701-5869 | 2020-08-12 |
| 1437693330 | Kati Elizabeth Waters | Podiatrist | 6603 Oak Hill Blvd, Tyler, TX 75703-0586 | 2016-12-12 |
| 1730530924 | Sharon Overall | Podiatrist | 6603 Oak Hill Blvd, Tyler, TX 75703-0586 | 2016-06-29 |
| 1891920583 | Matthew Owen Kindle | Podiatrist | 5826 New Copeland Rd, Tyler, TX 75703-6217 | 2009-05-25 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.