Active NPI
Dana Patrice Smith, LMT
- Massage Therapist
- Dearborn, MI
National Provider Identifier
1477256386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501011461
- Practice address
- 5500 Auto Club Dr
Dearborn, MI 48126-2779 - Phone
- (833) 246-4347
- NPI assigned
- Mar 22, 2023
- Last updated
- Mar 22, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501011461 | MI | Primary |
Addresses
Primary practice location
5500 Auto Club Dr
Dearborn, MI 48126-2779
Mailing address
8632 Fremont St
Westland, MI 48185-1815
Other practice location 1
8632 Fremont St
Westland, MI 48185-1815
Phone (480) 203-4299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7501011461 | MI | MD | Massage Therapist |
Interoperability endpoints
- dsmith765969@direct.hfhs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1477256386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8632 FREMONT ST",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481851815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 AUTO CLUB DR",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481262779",
"telephone_number": "833-246-4347"
}
],
"practiceLocations": [
{
"address_1": "8632 Fremont St",
"address_purpose": "LOCATION",
"city": "Westland",
"state": "MI",
"postal_code": "481851815",
"country_code": "US",
"telephone_number": "480-203-4299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "DANA",
"middle_name": "PATRICE",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501011461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dearborn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.