Individual provider Active NPI

Daniel Alan Smolen, D.O.

  • Family Medicine Physician
  • Boothwyn, PA
National Provider Identifier
1528088754
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS003765L Issued in PA
Practice address
1440 Conchester Hwy
Suite 4
Boothwyn, PA 19061-2124
Phone
(610) 358-3920
Fax
(610) 358-3922
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS003765L PA Primary

Addresses

Primary practice location

1440 Conchester Hwy
Suite 4
Boothwyn, PA 19061-2124

Mailing address

1440 Conchester Hwy
Suite 4
Boothwyn, PA 19061-2124
Phone (610) 358-3920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120209000045 PA Practitioner - General Surgery 3476710021 Practice locations: Garnet Valley, PA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1440 Conchester Hwy
Suite 4
Garnet Valley, PA 19060-2105
Phone (610) 358-3920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528088754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CONCHESTER HWY",
            "address_2": "SUITE 4",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190612124",
            "telephone_number": "610-358-3920",
            "fax_number": "610-358-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 CONCHESTER HWY",
            "address_2": "SUITE 4",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190612124",
            "telephone_number": "610-358-3920",
            "fax_number": "610-358-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLEN",
        "first_name": "DANIEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003765L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boothwyn, PA

Sources for this page

Verify at the official NPI Registry.