Sam P Smith DO LLC
NPI 1710904636 · Dermatology Physician · Gilbert, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sam P Smith DO LLC is a Dermatology Physician organization in Gilbert, AZ (NPI 1710904636).
Provider details
- NPI number
- 1710904636
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sam Smith, President(602) 369-6845
- License
- 4237 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Sam P Smith DO
Registry dates
- Enumerated
- 2006-07-16
- Last updated
- 2013-08-16
Frequently asked questions
- What is Sam P Smith DO LLC's NPI number?
- Sam P Smith DO LLC's National Provider Identifier (NPI) is 1710904636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sam P Smith DO LLC?
- Sam P Smith DO LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Sam P Smith DO LLC located?
- Sam P Smith DO LLC's practice location on file with NPPES is 4915 E Baseline Rd, Gilbert, AZ 85234-2965.
- What is Sam P Smith DO LLC's phone number?
- The practice phone number listed in the NPPES registry for Sam P Smith DO LLC is (480) 646-8660.
- Does Sam P Smith DO LLC accept Medicare?
- Sam P Smith DO LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Sam P Smith DO LLC?
- The authorized official listed on Sam P Smith DO LLC's NPPES record is Sam Smith, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sam P Smith DO LLC's NPI active?
- Yes — Sam P Smith DO LLC's NPI (1710904636) is active in the NPPES registry as of the last update on 2013-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.