QUINTAN W SMITH DPM
NPI 1629846894
Student in an Organized Health Care Education/Training Program in Miami Shores, FL

Q: What is Quintan Smith's NPI number?

The NPI number for Quintan Smith is 1629846894. It was assigned to this individual provider in the NPPES registry on December 18, 2023.

Q: What is Quintan 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 Quintan Smith was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 18, 2023PECOS Enrolled

11300 NE 2ND AVE, MIAMI SHORES, FL 33161(541) 848-1218 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Quintan W Smith Dpm NPPES

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

QUINTAN W SMITH DPM (NPI 1629846894) is an individual student in an organized health care education/training program in Miami Shores, Florida and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629846894

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameQUINTAN W SMITHCredential: DPM

Location Address11300 NE 2ND AVEMiami Shores, FL 33161-6695

Mailing Address11300 Ne 2nd AveMiami Shores, FL 33161-6695

Phone(541) 848-1218

Sole ProprietorYes

Enumeration DateDecember 18, 2023

NPPES CertifiedDecember 16, 2023

✔ NPI 1629846894 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.

11300 NE 2ND AVE, Miami Shores, FL 33161

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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)

Quintan W Smith Dpm 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.

KAYLEE EILEEN YAGER PA

Physician Assistant