David Gerard Smith Sr., COUNSELOR III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

NO Issued in CA

Practice address

1343 W Main St
Merced, CA 95340-4438

Phone

(209) 725-1060

NPI assigned

Oct 5, 2021

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nationwide Medical Group, Inc

  • Community Health Clinic/Center
  • Merced, CA
  • NPI 1578614525
  NPD (past)

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1376215558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1343 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404438",
            "telephone_number": "209-725-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 W MAIN ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953404438",
            "telephone_number": "209-725-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DAVID",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "COUNSELOR III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "NO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO",
            "identifier": "NONE",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.smith@pinnacletreatment.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Business",
            "address_1": "1343 W Main St",
            "city": "Merced",
            "state": "CA",
            "country_code": "US",
            "postal_code": "953404438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sleepmed Therapies Inc.
• Audrey Slocum
• Larry Smiley Jr.
• Cameron D Smith
• Conroy Carlo Smith
• Gyonna Navi Smith
• Jamie McClellan Smith, M.S.
• Karalyn D Smith
• Kevin Read Smith, LEP
• Liliana O. Smith, PTA

• Addiction (Substance Use Disorder) Counselor in Merced, CA
• Providers in Merced, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.