Doyal Dean Smith Jr., CADC-1

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9111 NE Sunderland Rd
Portland, OR 97211-1708

Phone

(503) 280-6646

NPI assigned

Mar 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1184755878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19605 SE 37TH WAY",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986071402",
            "telephone_number": "503-280-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 NE SUNDERLAND RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972111708",
            "telephone_number": "503-280-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DOYAL",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CADC-1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane K. Smith, RD
• Donea Smith
• Donna Smith, M.A.
• Donnissa Smith, THE BEAUTY THRONE
• Dora J Smith, QMHA
• Drew Smith
• Dylan Francis Smith
• Elenie L Smith, CNM, NP, NMNP PP
• Elijah T Smith, M.D.
• Elizabeth Smith

• Case Manager/Care Coordinator in Portland, OR
• Providers in Portland, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.