MR. CASEY RYAN SMITH (NPI# 1295708337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295708337 |
| Entity Type | Individual |
| Full Name | MR. CASEY RYAN SMITH |
| Credential | ATC |
| Practice Address |
2500 Victory Ave Dallas Mavericks Dallas TX 75219 |
| Practice Telephone | 2146654648 |
| Practice Fax Number | 2146654647 |
| Mailing Telephone | 2146654648 |
| Mailing Fax Number | 2146654647 |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225500000X | Specialist/Technologist | AT3197 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549979 | Casey Smith | Student in an Organized Health Care Education/Training Program | 2 Sunnyside Acres, Edinburg, IL 62531-9407 | 2020-05-14 |
| 1962037945 | Casey Smith | Counselor | 3008 Inverness Dr, Toms River, NJ 08753-6320 | 2020-03-10 |
| 1215582838 | Casey Smith | Behavioral Analyst | 4950 W 23rd Street, Suite 1, Erie, PA 16506 | 2019-08-09 |
| 1306337126 | Casey Marie Smith | Optometrist | 1024 N Plum St, Springfield, OH 45504-2108 | 2018-05-29 |
| 1871099333 | Casey Lee Smith | Student in an Organized Health Care Education/Training Program | 402 Dickinson St Ste 360, San Diego, CA 92103-6902 | 2018-04-03 |
| 1023524196 | Casey Joe Smith | Nurse Practitioner | 498 Nw 18th St Ste D, Richmond, IN 47374-2851 | 2017-12-27 |
| 1255861175 | Casey Smith | Case Manager/Care Coordinator | 600 Highway 425 N Ste B, Monticello, AR 71655-4020 | 2017-06-13 |
| 1235665746 | Casey Grier Smith | Student in an Organized Health Care Education/Training Program | 3628 Autumn Ave, Memphis, TN 38122 | 2017-05-03 |
| 1205248911 | Casey O'malley Smith | Occupational Therapist | 1913 Alfresco Pl # 1, Louisville, KY 40205-1809 | 2014-05-29 |
| 1801135587 | Casey Elizabeth Smith | Social Worker | 385 S Lemon Ave # E426, Walnut, CA 91789-2727 | 2013-01-31 |
| Street Address |
2500 VICTORY AVE DALLAS MAVERICKS |
| City | DALLAS |
| State | TX |
| Zip Code | 75219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598878423 | Dionne Calhoun | Specialist/Technologist | 2500 Victory Ave, Dallas, TX 75219-7601 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700421666 | Jennifer Henry Furlong | Counselor | 3500 Oak Lawn Ave Ste 720, Dallas, TX 75219 | 2019-11-14 |
| 1174082150 | Cmdpn Medical Group of Texas, P.a. | Clinic/Center | 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 | 2019-03-18 |
| 1245700871 | Reginald Deloatch | Day Training/Habilitation Specialist | 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 | 2018-11-27 |
| 1255815429 | Elk Monitoring,pllc | Electrodiagnostic Medicine | 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 | 2018-09-24 |
| 1255811154 | Matias Haller | Physical Therapist | 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 | 2018-08-20 |
| 1750861795 | Darya Semenyuk | Counselor | 3720 Rawlins St. Suite I, Dallas, TX 75219 | 2018-08-20 |
| 1144716580 | My Health & Homecare Transportation Inc | Non-emergency Medical Transport (VAN) | 3710 Rawlins St Ste 1420, Dallas, TX 75219 | 2018-07-09 |
| 1750876785 | David Dwayne Weir | Registered Nurse | 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 | 2018-06-22 |
| 1053802264 | Stem Cell Pros LLC | Durable Medical Equipment & Medical Supplies | 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 | 2018-05-23 |
| 1346749231 | White Dental Limited Company Pllc | Clinic/Center | 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 | 2018-02-06 |
| Find all providers in zip 75219 | ||||
| Taxonomy Code | 225500000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245530526 | Helen J Smith | Specialist/Technologist | 5445 La Sierra Dr, Suite 410, Dallas, TX 75231-4139 | 2010-11-02 |
| 1457664211 | Sandra Lee Wollerton | Specialist/Technologist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2010-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626833 | Physical Therapy Today of Lubbock Lp | Specialist/Technologist | 12115 Indiana Ave Ste 2, Lubbock, TX 79423-5501 | 2020-10-14 |
| 1760099824 | Jerome Allen Jr. | Specialist/Technologist | 7324 Southwest Fwy Ste 325, Houston, TX 77074-2058 | 2020-09-23 |
| 1861007445 | Svitlana Kravchenko | Specialist/Technologist | 8518 Heraldry St, San Antonio, TX 78254-2425 | 2020-09-10 |
| 1710418355 | Kimberly Jackson | Specialist/Technologist | 2402 High Star Dr, Garland, TX 75041-3236 | 2017-03-24 |
| 1255862215 | Kelsey Nancarrow | Specialist/Technologist | 611 Chevy Chase Cir, Sugar Land, TX 77478-3601 | 2017-03-22 |
| 1891246856 | Melissa Reinert | Specialist/Technologist | 1300 Conner Ave, Fort Worth, TX 76105-1423 | 2016-10-14 |
| 1962874693 | Ashley Anne Smith | Specialist/Technologist | 2110 Long Forest Road, Heartland, TX 75126 | 2015-10-21 |
| 1073753067 | Open Arms Therapeutic Riding Center | Specialist/Technologist | 1404 Channing St, Dalhart, TX 79022-2217 | 2009-03-03 |
| 1568609311 | Matthew J Fiala | Specialist/Technologist | 522 Atlantic St, Corpus Christi, TX 78404-2921 | 2009-01-15 |
| 1255527487 | Jawanda J. Corbin-newsome | Specialist/Technologist | 1027 Windy Pond, San Antonio, TX 78260-2596 | 2007-09-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.