Dallas Aaron Smith Jr., MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

20965 Issued in NC

Practice address

109 Muirs Chapel Rd
Lower Level
Greensboro, NC 27410-6161

Phone

(336) 852-3300

Fax

(336) 387-2165

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Imaging Partners PLLC

  • Diagnostic Radiology Physician
  • Morganton, NC
  • NPI 1184020547

  Diagnostic Radiology, NC, SC

  Medicare reassignment NPD
• Southeastern Overread Services, PLLC

  • Body Imaging Physician
  • Greensboro, NC
  • NPI 1124060678
  NPD (past) Authorized official
• Southeastern Radiology PA

  • Diagnostic Radiology Physician
  • Greensboro, NC
  • NPI 1669476453

  Diagnostic Radiology

  NPD (past) Authorized official
• Professional Ultrasound & Imaging

  • Physiological Laboratory
  • Whiteville, NC
  • NPI 1649398751
  NPD
• Direct Diagnostic Services, LLC

  • Physiological Laboratory
  • Charleston, SC
  • NPI 1801040274
  NPD
• Inmed Diagnostics Services of SC LLC

  • Radiology Clinic/Center
  • Florence, SC
  • NPI 1821114315
  NPD
• Atlantic Radiology Associates PA

  • Diagnostic Radiology Physician
  • Goldsboro, NC
  • NPI 1184656936

  Diagnostic Radiology

  NPD (past)
• Neurology & Pain Management, PLLC

  • Specialist
  • Lillington, NC
  • NPI 1609907138
  NPD (past)
• University of North Carolina Hospitals at Chapel Hill

  • Community/Retail Pharmacy
  • Morrisville, NC
  • NPI 1134928542
  NPD (past)
• Atlantic Diagnostic Center PA

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1275578114

  Diagnostic Radiology

  NPD (past)
• Garden State MRI Corp

  • Diagnostic Radiology Physician
  • Vineland, NJ
  • NPI 1497700702

  Diagnostic Radiology

  NPD (past)
• Insight Radiology LLC

  • Diagnostic Radiology Physician
  • Marlton, NJ
  • NPI 1326049917

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1972507655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4778",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274044778",
            "telephone_number": "336-542-2900",
            "fax_number": "336-542-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MUIRS CHAPEL RD",
            "address_2": "LOWER LEVEL",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106161",
            "telephone_number": "336-852-3300",
            "fax_number": "336-387-2165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Wamsutta Mill Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555521",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Carriage Ln Ste 108",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294076048",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Wamsutta Mill Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286555523",
            "country_code": "US",
            "telephone_number": "828-430-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "DALLAS",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "20965",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NC",
            "license": "20965",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NC",
            "license": "20965",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "20965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00725388",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8977458",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace T Smith, M.D.
• Chasity Smith
• Chenille Smith, LCSW
• Christal Smith, LCSA-A
• Clayton Jay Smith, R.PH.
• David John Smith, NP
• Deborah Smith
• Deborah J. Smith, RN, BC, MSN
• Denise Smith
• Elisa A Smith, RDN LDN

• All providers in Greensboro, NC
• Diagnostic Radiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.