Individual provider Active NPI

Daniel A. Smith, M.D.

  • Dermatology Physician
  • Plano, TX
National Provider Identifier
1366474454
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L9487 Issued in TX
Practice address
4716 Alliance Blvd
Suite 750
Plano, TX 75093-5371
Phone
(469) 800-6000
Fax
(469) 800-6001
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X L9487 TX Primary

Addresses

Primary practice location

4716 Alliance Blvd
Suite 750
Plano, TX 75093-5371

Mailing address

4716 Alliance Blvd
Suite 750
Plano, TX 75093-5371
Phone (469) 800-6000

Other identifiers 3

IdentifierTypeStateIssuer
1671463-01MedicaidTX
1671463-02MedicaidTX
167146303MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsmith222365@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040828000038 TX Practitioner - Dermatology 6406821990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Baylor College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4708 Alliance Blvd
Suite 550
Plano, TX 75093-5363
Phone (469) 800-6140

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions1803
Skin biopsy214

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jun 1, 2019 Accepting new patients
Healthtexas Provider Network Dermatology Current Accepting new patients
Healthtexas Provider Network CurrentSince Jun 1, 2019 Accepting new patients
Healthtexas Provider Network--Dallas Diagnostic Association Dermatology CurrentSince Jun 30, 2014 Accepting new patients
Healthtexas-Dallas Diagnostic Association Dermatology CurrentSince Jun 30, 2014 Accepting new patients

Locations

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

601 Clara Barton Blvd
Ste 300
Garland, TX 75042
Phone (972) 494-6235

4700 Alliance Blvd
Ste 400
Plano, TX 75093
Phone (469) 814-6631

4716 Alliance Blvd
Ste 750
Plano, TX 75093

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1366474454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4716 ALLIANCE BLVD",
            "address_2": "SUITE 750",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935371",
            "telephone_number": "469-800-6000",
            "fax_number": "469-800-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 ALLIANCE BLVD",
            "address_2": "SUITE 750",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935371",
            "telephone_number": "469-800-6000",
            "fax_number": "469-800-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DANIEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L9487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1671463-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1671463-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167146303",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsmith222365@direct.sw.org",
            "affiliation": "N",
            "address_1": "4716 Alliance Blvd",
            "address_2": "Suite 750",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750935371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.