Dave Small, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

284092 Issued in NY

Practice address

664 E 77TH St
Brooklyn, NY 11236-3316

Phone

(954) 806-1140

NPI assigned

Feb 25, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1710209267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 E 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363316",
            "telephone_number": "954-806-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 E 77TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363316",
            "telephone_number": "954-806-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "DAVE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "284092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "284092",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abiola Small
• Bevin O'Brien Small, MS CCC-SLP
• Charise Small, B.A.
• Chaya Small, LMSW
• Dannielle Karise Small
• Elutia Small
• James A Small Sr., DPM
• Kayla Small, LMSW
• Kela Neque Small, CMAA, CMA, CPT, CET
• Kyris Small, CRPA-P

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.