Individual provider Active NPI

Zana Smallen

  • Community/Behavioral Health Agency
  • Dowagiac, MI
National Provider Identifier
1114475274
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
212 W Railroad St
Dowagiac, MI 49047-1410
Phone
(269) 782-7604
Fax
(269) 782-5475
NPI assigned
Sep 19, 2016
Last updated
Sep 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

212 W Railroad St
Dowagiac, MI 49047-1410

Mailing address

212 W Railroad St
PO Box 24
Dowagiac, MI 49047-1410
Phone (269) 782-7604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1114475274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W RAILROAD ST",
            "address_2": "PO BOX 24",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471410",
            "telephone_number": "269-782-7604",
            "fax_number": "269-782-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 W RAILROAD ST",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471410",
            "telephone_number": "269-782-7604",
            "fax_number": "269-782-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLEN",
        "first_name": "ZANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dowagiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.