Daryl John Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042686 Issued in NY

Practice address

154 North St
Arcade, NY 14009-1204

Phone

(585) 496-5411

Fax

(585) 496-7492

NPI assigned

Oct 28, 2008

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1508019258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 NORTH ST",
            "city": "ARCADE",
            "state": "NY",
            "postal_code": "140091204",
            "telephone_number": "585-496-5411",
            "fax_number": "585-496-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 NORTH ST",
            "city": "ARCADE",
            "state": "NY",
            "postal_code": "140091204",
            "telephone_number": "585-496-5411",
            "fax_number": "585-496-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DARYL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Reynolds, RN
• Peter J Robbins, LCSW-R
• Yolanda Maurine Rogers, R.PH.
• Karen L Ruszala, LMT
• Angela Elizabeth Schuckhardt, LCSW
• Jenni T Smith, M.A., CCC/L-SLP
• Timothy Rex Stanford, D.D.S.
• Tops Markets LLC
• Village of Arcade
• Charlene Elizabeth Welsted, AGPCNP-BC

• General Practice Dentistry in Arcade, NY
• Providers in Arcade, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.