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DENISE M SMITH DO
NPI 1912907445
Family Medicine in Fort Wayne, IN

Active since July 27, 2005
1211 W STATE BLVD, FORT WAYNE, IN 46808(260) 422-0010(260) 422-2212 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2021, Sep 21, 2020 (2 updates tracked since 2020).

About Denise M Smith Do NPPES

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

DENISE M SMITH DO (NPI 1912907445) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (02001605) and active in the NPI registry since July 2005. She maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1912907445
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDENISE M SMITHCredential: DO
Location Address1211 W STATE BLVDFort Wayne, IN 46808-3103
Mailing Address1211 W State BlvdFort Wayne, IN 46808-3103 · (260) 422-0010 · Fax (260) 422-2212
Phone(260) 422-0010
Fax(260) 422-2212
Sole ProprietorNo
Enumeration DateJuly 27, 2005
Last NPPES UpdateNovember 2, 20212 updates tracked since enumeration
NPPES CertifiedNovember 2, 2021
✔ NPI 1912907445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 02001605
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1211 W STATE BLVD, Fort Wayne, IN 46808
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Secondary Practice Location 1

Location 17333 W Jefferson BlvdFort Wayne, IN 46804-6280 · Phone (260) 458-3830

Other Identifiers 2

Medicaid200023850IN
Other080175244IN · Railroad Medicare

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 Denise Smith's NPI number?

The NPI number for Denise Smith is 1912907445. It was assigned to this individual provider in the NPPES registry on July 27, 2005.

Where is Denise Smith located?

Denise Smith practices at 1211 W State Blvd, Fort Wayne, IN 46808. The listed phone number is (260) 422-0010.

What is Denise Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Denise Smith was last updated on November 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.