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NPI Code Detail

MEDICARE: DANIEL RAY SMITH M.D.

MEDICARE: DANIEL RAY SMITH M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207QS1201XSleep Medicine (Family Medicine) Physician42185CO
2207RP1001XPulmonary Disease Physician42185CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639173024
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL RAY SMITH M.D.
Provider Business Mailing Address
First Line : 1400 JACKSON ST
Second Line :
City : DENVER
State : CO
Zip : 80206-2761
Country : US
Telephone Number : 303-388-4461
Fax Number : 303-270-2174
Provider Business Practice Location Address
First Line : 6600 W BROAD ST STE 300
Second Line :
City : RICHMOND
State : VA
Zip : 23230-1709
Country : US
Telephone Number : 43-204-2438
Fax Number : 804-622-0552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 05/20/2021

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