Dan C Smith Jr., CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

022878 Issued in NC

Practice address

2230 Memorial Park Dr
Sparta, NC 28675-9665

Phone

(336) 372-5897

NPI assigned

Aug 9, 2005

Last updated

Feb 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alleghany Memorial Hospital

  • Critical Access Hospital
  • Sparta, NC
  • NPI 1992838593
  NPD (past)
• Anesthesia and Pain Medicine

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1265482582
  NPD (past)
• University Anesthesiology Assoc

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1790722593
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1073514394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 MEMORIAL PARK DR",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759665",
            "telephone_number": "336-372-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 MEMORIAL PARK DR",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759665",
            "telephone_number": "336-372-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "022878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Edward Romanov, ARNP
• Roots & Ridge, PLLC
• Dale Marie Sandusky, MA, CCC-SLP
• Share Ministry Inc (SHARE Clinic)
• Julia Marian Simmons, PHD, LPC
• Sara Caitlyn Smith
• Todd A Smith, DC
• Sparta Emergency Physicians LLC
• Robert Mark Sturdivant, LPC
• Chloe Erin Sullivan

• Certified Registered Nurse Anesthetist in Sparta, NC
• Providers in Sparta, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.