Dale Alan Smith, DALE SMITH RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

R024945 Issued in ME

Practice address

192 Sebago Lake Rd
Gorham, ME 04038-2328

Phone

(207) 751-8144

NPI assigned

Oct 23, 2006

Last updated

Jun 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214092800000",
    "number": "1881777175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 SEBAGO LAKE RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382328",
            "telephone_number": "207-751-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 SEBAGO LAKE RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040382328",
            "telephone_number": "207-751-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DALE",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "DALE SMITH RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "ME",
            "license": "R024945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Smith
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• Registered Nurse First Assistant in Gorham, ME
• Providers in Gorham, ME by specialty
• Registered Nurse First Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2008; 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.