Individual provider Active NPI

Daniel Philip Wiser Smith, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Idaho Falls, ID
National Provider Identifier
1235454901
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
O-0782 Issued in ID
Practice address
3385 Potomac Way
Idaho Falls, ID 83404-4978
Phone
(208) 522-7246
NPI assigned
Apr 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X O-0782 ID
Pain Medicine (Anesthesiology) Physician 207LP2900X OP60530576 WA
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X O-0782 ID Primary

Addresses

Primary practice location

3385 Potomac Way
Idaho Falls, ID 83404-4978

Mailing address

2425 S 60TH E
Idaho Falls, ID 83406-8022
Phone (208) 351-3214

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Teton Valley Health Care Inc 31 clinicians
Mountain View Hospital LLC 272 clinicians

Practice addresses (Care Compare)

120 E Howard Ave
Driggs, ID 83422-5112

120 E Howard St
Driggs, ID 83422-5112
Phone (208) 354-2383

283 N 1St St
Driggs, ID 83422-5109
Phone (208) 354-2302

3385 Potomac Way
Idaho Falls, ID 83404-4978
Phone (208) 522-7246

Hospital & facility affiliations

  • Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065
  • Teton Valley Hospital Hospital, Driggs, ID, CCN 131313
  • Portneuf Medical Center Hospital, Pocatello, ID, CCN 130028
  • Madison Memorial Hospital Hospital, Rexburg, ID, CCN 130025
  • Bingham Memorial Hospital Hospital, Blackfoot, ID, CCN 131325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160609001826 ID Practitioner - Pain ManagementPractitioner - Anesthesiology 8820308059 Reassigns benefits to 4 organizations
I20220316003435 ID Practitioner - Anesthesiology 8820308059 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Teton Valley Health Care Inc CurrentSince Mar 8, 2022 Accepting new patients
Teton Valley Health Care, Inc Pain Medicine CurrentSince Mar 8, 2022 Accepting new patients
BMH, Inc. CurrentSince Jun 12, 2017 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince May 1, 2022 Accepting new patients
North Canyon Medical Center Inc. Current Accepting new patients
Teton Valley Health Care Inc Pain Medicine Current Accepting new patients
Mountain View Hospital LLC CurrentSince Dec 16, 2023 Accepting new patients
BMH, Inc. Pain Medicine Current Accepting new patients
Steele Memorial Medical Center CurrentSince Sep 1, 2022 Accepting new patients
Teton Valley Health Care, Inc CurrentSince Mar 8, 2022 Accepting new patients
Steele Memorial Medical Center CurrentSince Sep 1, 2022 Accepting new patients
North Canyon Medical Center, Inc. CurrentSince May 1, 2022 Accepting new patients
BMH, Inc. CurrentSince Jun 12, 2017 Accepting new patients
Medical Imaging Associates of Idaho Falls, Inc Past Accepting new patients
Mountain View Hospital Physician Organization Past Accepting new patients
Teton Valley Health Care Inc Past Accepting new patients
North Canyon Medical Center, Inc. Past Accepting new patients

Locations

315 W Idaho St
Blackfoot, ID 83221
Phone (208) 782-3990

98 Poplar St
Blackfoot, ID 83221
Phone (208) 782-3763

1425 Parkway Dr
Blackfoot, ID 83221
Phone (208) 785-2600

283 N 1st St
Driggs, ID 83422
Phone (208) 354-2302

120 E Howard St
Driggs, ID 83422
Phone (208) 354-2302

267 N Canyon Dr
Gooding, ID 83330
Phone (208) 934-4433

3302 Valencia Dr
Ste 101B
Idaho Falls, ID 83404
Phone (713) 822-0023

3385 Potomac Way
Idaho Falls, ID 83404
Phone (208) 522-7246

2325 Coronado St
Idaho Falls, ID 83404
Phone (208) 528-7686

150 Vista Dr
Pocatello, ID 83201
Phone (208) 232-2146

203 S Daisy St
Salmon, ID 83467
Phone (208) 756-4291

Interoperability endpoints

  • Direct secure messaging: daniel.smith.1@15468.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1235454901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 S 60TH E",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834068022",
            "telephone_number": "208-351-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 POTOMAC WAY",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044978",
            "telephone_number": "208-522-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIEL",
        "middle_name": "PHILIP WISER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "ID",
            "license": "O-0782",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WA",
            "license": "OP60530576",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "ID",
            "license": "O-0782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.