Shaun Smith

Primary specialty

SpecialistTaxonomy code 174400000X

License

MT-0003548 Issued in DE

Practice address

254 Chapman Rd
Suite 112
Newark, DE 19702-5413

Phone

(888) 757-1951

Fax

(877) 757-1951

NPI assigned

Mar 11, 2014

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

Practice roles

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.

• Medical Massage of Delaware

  • Health Service Clinic/Center
  • Wilmington, DE
  • NPI 1679937122
  NPD (past)
• Medical Massage of the Rockies

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Seaford, DE
  • NPI 1780038414
  NPD (past)

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1932525284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 272195",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805272195",
            "telephone_number": "888-757-1951",
            "fax_number": "877-757-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CHAPMAN RD",
            "address_2": "SUITE 112",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025413",
            "telephone_number": "888-757-1951",
            "fax_number": "877-757-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SHAUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "MT-0003548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Mary Smith, D.M.D.
• Paula Michelle Smith, PA-C
• Regina Lynn Smith, DO
• Sarah Elaine Smith, PA-C
• Sarah Krista Smith, D.D.S.
• Shaun David Smith, PA-C
• Sheri Anne Smith, FNP-C
• Tabitha Michelle Smith, MSW
• Tanae Smith
• Taylor Olivia Smith

• Specialist in Newark, DE
• Providers in Newark, DE by specialty
• Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.