MR. WILLIAM SMITH IV
NPI 1396279857
Student in an Organized Health Care Education/Training Program in Dallas, TX

Q: What is William Smith's NPI number?

The NPI number for William Smith is 1396279857. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Q: What is William Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for William Smith was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 11, 2017PECOS Enrolled

5323 HARRY HINES BLVD, SUITE NC5.804, DALLAS, TX 75390(214) 648-7012 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. William Smith Iv NPPES

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

MR. WILLIAM SMITH IV (NPI 1396279857) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396279857

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. WILLIAM SMITH IV

Location Address5323 HARRY HINES BLVD, SUITE NC5.804Dallas, TX 75390-7201

Mailing Address5323 Harry Hines Blvd, Suite Nc5.804Dallas, TX 75390-7201

Phone(214) 648-7012

Sole ProprietorNo

Enumeration DateApril 11, 2017

✔ NPI 1396279857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5323 HARRY HINES BLVD, Dallas, TX 75390

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. William Smith Iv is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

MRS. TANYA MARIE PLETIN PA-C

Physician Assistant