Michael Duane Smaltz, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

55A Savo Dr
Wahiawa, HI 96786-3001

Phone

(808) 653-5340

NPI assigned

Dec 12, 2007

Last updated

Dec 12, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1346423324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55A SAVO DR",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967863001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55A SAVO DR",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967863001",
            "telephone_number": "808-653-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALTZ",
        "first_name": "MICHAEL",
        "middle_name": "DUANE",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Janelle Servati, LPN
• Staci Sheehan, RN
• Mark Shigeoka, D.D.S
• Myra H Shindo, MS
• Belen Lim Hing Siu, MD
• Ellen H Sofio, M.D.
• Bernardo Bernardo Soriano, MPT
• Gildo Sabanpan Soriano, MD
• Kelsey Spangler, RN
• State of Hawaii Department of Health (Wahiawa Community Mental Health Center)

• Independent Duty Corpsman in Wahiawa, HI
• Providers in Wahiawa, HI by specialty
• Independent Duty Corpsman in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.