KENNETH ANDREW SMITH DO
NPI 1780143784
Military Health Care Provider in Portsmouth, VA
About Kenneth Andrew Smith Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH ANDREW SMITH DO (NPI 1780143784) is an individual military health care provider provider in Portsmouth, Virginia, licensed in Virginia (0102206341) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth Andrew Smith Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
PORTSMOUTH, VA 23708
PORTSMOUTH, VA 23708
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 Kenneth Smith's NPI number?
The NPI number for Kenneth Smith is 1780143784. It was assigned to this individual provider in the NPPES registry on March 19, 2019.
Where is Kenneth Smith located?
Kenneth Smith practices at 620 John Paul Jones Cir, Portsmouth, VA 23708. The listed phone number is (757) 953-2339.
What is Kenneth Smith's specialty?
The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.
Is Kenneth Smith enrolled in Medicare?
Yes. Kenneth Smith is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kenneth Smith was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kenneth Andrew Smith, DO · NPI 1780143784
Military Health Care Provider provider in Portsmouth, Virginia. Individual provider, active in the CMS NPPES registry since March 19, 2019.
## Identity
- **NPI:** 1780143784 (Entity type: Individual)
- **Enumerated:** March 19, 2019
- **Primary specialty:** Military Health Care Provider · taxonomy 171000000X
- **State license:** 0102206341 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 620 JOHN PAUL JONES CIR, Portsmouth, VA 23708-2111
- **Phone:** (757) 953-2339
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 8, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780143784) · Data from the CMS NPPES public registry.