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KEVIN D SMITH D P M P C
NPI 1225072697
Podiatrist in Moline, IL

Active since June 16, 2006
505 VALLEY VIEW DR STE 1, MOLINE, IL 61265(309) 762-7919(309) 517-6483 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin D Smith D P M P C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN D SMITH D P M P C (NPI 1225072697) is a healthcare organization registered as a podiatrist in Moline, Illinois and active in the NPI registry since June 2006. The organization lists Kevin Dennis Smith, President, as its authorized official.

NPPES Registry Identity

NPI1225072697
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameKEVIN D SMITH D P M P C
Location Address505 VALLEY VIEW DR STE 1Moline, IL 61265-6138
Mailing Address505 Valley View Dr Ste 1Moline, IL 61265-6138 · (309) 762-7919 · Fax (309) 517-6483
Phone(309) 762-7919
Fax(309) 517-6483
Organization SubpartNo
Authorized OfficialKevin Dennis SmithPresident · (309) 762-7919
Enumeration DateJune 16, 2006
Last NPPES UpdateJune 4, 2015
✔ NPI 1225072697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IL · 016-004863
Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

505 VALLEY VIEW DR STE 1, Moline, IL 61265
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Other Identifiers 4

Medicare NSC4761180001IL
Medicare PIN205375IL
Medicare UPINU79400IL
Medicare PINDG4825

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN DENNIS SMITH D.P.M.
Podiatrist (Foot & Ankle Surgery)
505 VALLEY VIEW DR STE 1
MOLINE, IL 61265
Rock Island County (309) 762-7919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin D Smith D P M P C's NPI number?

The NPI number for Kevin D Smith D P M P C is 1225072697. It was assigned to this organization in the NPPES registry on June 16, 2006.

Where is Kevin D Smith D P M P C located?

Kevin D Smith D P M P C is located at 505 Valley View Dr Ste 1, Moline, IL 61265. The listed phone number is (309) 762-7919.

What is Kevin D Smith D P M P C's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Kevin D Smith D P M P C was last updated on June 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.