DR. DOUGLAS SMITH M.D. NPI 1518285725

NPI Information

  • NPI: 1518285725
  • Provider Name: DR. DOUGLAS SMITH, M.D.
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2720 FAIRVIEW AVE N STE 100
    ROSEVILLE, MN
    ZIP 55113
  • Phone: (651) 241-5290

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NPI Details

DR. Douglas Smith, M.D. is a neurology with special qualifications in child neurology psychiatry neurology in Roseville, MN with 16 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. DR. Douglas Smith, M.D. NPI is 1518285725. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2720 FAIRVIEW AVE N STE 100
ROSEVILLE, MN
ZIP 55113-306
Phone: (651) 241-5290
Fax: (651) 241-5140

The NPI 1518285725 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/12/2010 and was last updated on 3/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080S0010XPediatricsSports MedicineMT202293PENNSYLVANIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology60589MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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