NPIMap

Organization Active NPI

Daniel L. Smith, D.O., Inc.

  • Family Medicine Physician
  • Mount Vernon, OH
National Provider Identifier
1720173511
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2461 Issued in OH
Legal business name
DANIEL L. SMITH, D.O., INC.
Practice address
11 Woodlake TRL
Suite a
Mount Vernon, OH 43050-8113
Phone
(740) 397-3647
Fax
(740) 397-0908
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel Lee Smith, D.O.
Title
Osteopathic Physician
Phone
(740) 397-3647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 2461 OH Primary

Addresses

Primary practice location

11 Woodlake TRL
Suite a
Mount Vernon, OH 43050-8113

Mailing address

11 Woodlake TRL
Suite a
Mount Vernon, OH 43050-8113
Phone (740) 397-3647

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720173511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WOODLAKE TRL",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508113",
            "telephone_number": "740-397-3647",
            "fax_number": "740-397-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WOODLAKE TRL",
            "address_2": "SUITE A",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508113",
            "telephone_number": "740-397-3647",
            "fax_number": "740-397-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL L. SMITH, D.O., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OSTEOPATHIC  PHYSICIAN",
        "authorized_official_telephone_number": "740-397-3647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "2461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.