{"npi":"1720182231","type":"NPI-1","status":"active","name":{"display":"Dr. Gardner Smith MD","other":[],"first":"GARDNER","last":"SMITH","middle":"SCOTT","credential":"MD"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"MT","license":"MED-PHYS-LIC-43906"}]},"addresses":[{"purpose":"LOCATION","street_1":"408 WENDELL AVE","city":"LEWISTOWN","state":"MT","postal_code":"594572261","country_code":"US","phone":"4065351502"},{"purpose":"MAILING","street_1":"1100 REID PKWY","city":"RICHMOND","state":"IN","postal_code":"473741157","country_code":"US","street_2":"PAYOR ENROLLMENT","phone":"7659833392","fax":"7659358592"}],"license":{"state":"MT","number":"MED-PHYS-LIC-43906"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0149665","state":"OH","issuer":null},{"type_code":"05","label":"Medicaid","value":"300120330","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160205002415","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"MT","pac_id":"0547151888"},{"enrlmt_id":"I20241216000965","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"WY","pac_id":"0547151888"},{"enrlmt_id":"I20250910000546","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"IN","pac_id":"0547151888"}]},"enumeration_date":"2006-09-13","last_updated":"2025-10-17","_meta":{"source":"NPPES","snapshot_date":"2025-10-17","doc_url":"https://findmynpi.com/api"}}