Individual provider Active NPI

Dale Wallace Smith, MD

  • Pulmonary Disease Physician
  • Kansas City, MO
National Provider Identifier
1881199271
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2024026585 Issued in MO
Practice address
1004 Carondelet Dr Ste 300
Kansas City, MO 64114-4858
Phone
(816) 942-4500
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 2024026585 MO Primary

Addresses

Primary practice location

1004 Carondelet Dr Ste 300
Kansas City, MO 64114-4858

Mailing address

1004 Carondelet Dr Ste 300
Kansas City, MO 64114-4858
Phone (816) 942-4500

Other practice location 1

1000 Carondelet Dr # 100
Kansas City, MO 64114-4673
Phone (816) 942-4500

Other practice location 2

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 942-4500 ext. 81

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240806003253 MO Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 5395093421 Reassigns benefits to 1 organization
I20241113003893 KS Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 5395093421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Healthcare Kansas City - Physician Services LLCGroup PAC ID 7315267325, 71 clinicians

Practice addresses (Care Compare)

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 943-4758

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.35 of 100Reported as group
Quality
61.06
Promoting interoperability
99
Improvement activities
40
Cost
74.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024026585MOMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Sep 1, 2024 Accepting new patients
Prime Healthcare Kansas City - Physician Services LLC Pulmonary Disease CurrentSince Sep 1, 2024 Accepting new patients
Prime Healthcare Physician Services - Providence Inc CurrentSince Sep 1, 2024 Accepting new patients
Carondelet Physician Services, Inc. PastSince Oct 5, 2025 Accepting new patients

Locations

8929 Parallel Pkwy
Kansas City, KS 66112
Phone (913) 596-3930

757 W Eisenhower Rd
#R
Lansing, KS 66043
Phone (913) 297-2299

3500 S 4th St
Leavenworth, KS 66048
Phone (913) 469-1411

201 W Road Mize Rd
Blue Springs, MO 64014
Phone (816) 228-5900

1000 Carondelet Dr
#100
Kansas City, MO 64114
Phone (816) 942-4500

1000 Carondelet Dr
Ste 300
Kansas City, MO 64114
Phone (816) 943-4700

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

1004 Carondelet Dr
Ste 300
Kansas City, MO 64114
Phone (816) 942-4500

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778112000000",
    "number": "1881199271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144858",
            "telephone_number": "816-942-4500",
            "fax_number": "816-941-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 CARONDELET DR STE 300",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641144858",
            "telephone_number": "816-942-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Carondelet Dr # 100",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-942-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Carondelet Dr",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641144673",
            "country_code": "US",
            "telephone_number": "816-942-4500 x81",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DALE",
        "middle_name": "WALLACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MO",
            "license": "2024026585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.