Active NPI
Daniel Philip Wiser Smith, D.O.
- Pain Medicine (Anesthesiology) Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- O-0782
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Medicare Defined Swing Bed Hospital Unit
- Driggs, ID
- NPI 1053669598
-
- Multi-Specialty Clinic/Center
- Pocatello, ID
- NPI 1114192986
-
- Family Medicine Physician
- Pocatello, ID
- NPI 1295502995
-
- Rural Health Clinic/Center
- Buhl, ID
- NPI 1568950566
-
- Radiology Clinic/Center
- Twin Falls, ID
- NPI 1700641636
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 Management
- 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 IncMountain View Hospital LLC
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
- Teton Valley Hospital
- Portneuf Medical Center
- Madison Memorial Hospital
- Bingham Memorial Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160609001826 | ID | Practitioner - Pain Management | 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teton Valley Health Care Inc | Current | Accepting new patients | |
| Teton Valley Health Care, Inc | Pain Medicine | Current | Accepting new patients |
| BMH, Inc. | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | 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 | Current | Accepting new patients | |
| BMH, Inc. | Pain Medicine | Current | Accepting new patients |
| Steele Memorial Medical Center | Current | Accepting new patients | |
| Teton Valley Health Care, Inc | Current | Accepting new patients | |
| Steele Memorial Medical Center | Current | Accepting new patients | |
| North Canyon Medical Center, Inc. | Current | Accepting new patients | |
| BMH, Inc. | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.