Dwayne Smith

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

3521 N 53Rd St
Milwaukee, WI 53216-2950

Phone

(608) 888-3492

NPI assigned

Oct 12, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1114689601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S 1ST ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532042405",
            "telephone_number": "608-888-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 N 53RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162950",
            "telephone_number": "608-888-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DWAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689007932",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David S Smith
• Debra Ann Smith
• Derek Smith, LCSW
• Desilynn G Smith, MS, LPC, ICS, CSAC
• Diamond Marie Smith
• Edward G. Smith, LCSW
• Emily Rose Smith, M.D.
• Erika Elaine Smith, PHARM.D.
• Estherlene Denise Smith, M.S. ED, LPC, CSW
• Evelyn ML Smith

• Non-emergency Medical Transport (VAN) in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.