Dallas Smith-Gaskins, SPECIALIST

Primary specialty

SpecialistTaxonomy code 174400000X

License

1201122443 Issued in VA

Practice address

8765 Branch Ave Ste 23
Clinton, MD 20735-2630

Phone

(571) 268-2164

NPI assigned

May 31, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dallas Smith-Gaskins Professional name

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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1932892338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 BRANCH AVE STE 23",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352630",
            "telephone_number": "571-268-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 BRANCH AVE STE 23",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352630",
            "telephone_number": "571-268-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-GASKINS",
        "first_name": "DALLAS",
        "name_prefix": "Mrs.",
        "credential": "SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "1201122443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DALLAS",
            "last_name": "SMITH-GASKINS",
            "credential": "SPECIALIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sisimi Medic Inc
• Jeron Skerritt-Ryan, DDS
• Fallon Gabrielle Smalls, CBS
• Sheila Eury Smallwood
• Jordan Smedresman, MD
• Anne Harshaw Smith, MSW
• Donna Denise Smith
• Joyce M Smith
• Natajia Smith
• Patrice Smith

• Specialist in Clinton, MD
• Providers in Clinton, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.