Dr. Jack Dale Smith
Urologist
1321 Cottonwood St Suite 302
Woodland
, California 95695-5131
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About
Features
Language(s) Spoken
English
Ethnic Identity
White / Caucasian
Specialties
- Urologist
Languages spoken
- English
Location
First Address
- Dr. Jack Dale Smith
- 3400 Data Dr
- Rancho Cordova, CA
- Zip : 95670-7956
- Phone :
Second Address
- Dr. Jack Dale Smith
- 1321 Cottonwood St Suite 302
- Woodland, CA
- Zip : 95695-5131
- Phone : (530) 666-1631
Reviews
FAQs
Where did Dr. Jack Dale Smith attend graduate school?
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Where did Dr. Jack Dale Smith do his residency?
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Where did Dr. Jack Dale Smith do his fellowship?
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Is Dr. Jack Dale Smith board certified?
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What type of doctor is Dr. Jack Dale Smith
Urologist
In what state does Dr. Jack Dale Smith practice in?
California
Where is Dr. Jack Dale Smith ’s practice located?
1321 Cottonwood St Suite 302 , Woodland, California, 95695-5131
What is Dr. Jack Dale Smith ’s gender?
Male
Is Dr. Jack Dale Smith a sole practitioner?
No
Is Dr. Jack Dale Smith accepting new patients?
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What languages does Dr. Jack Dale Smith speak?
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Does Dr. Jack Dale Smith accept insurance?
Yes, Dr. Jack Dale Smith accepts insurance
Does Dr. Jack Dale Smith offers telemedicine?
Dr. Jack Dale Smith has not indicated if he offers telemedicine
What is Dr. Jack Dale Smith ’s professional license number?
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What is Dr. Jack Dale Smith ’s NPI number?
1043248818
Does Dr. Jack Dale Smith have any license restrictions?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208800000X | Urologist | G37180 | CA |
National Provider Identifier
| NPI | 1043248818 |
|---|---|
| Provider Name | Dr. Jack Dale Smith |
| First Address | Rancho Cordova, CA 95670-7956 |
| Second Address | Woodland, CA 95695-5131 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2006 |
| Last Update Date | 24/05/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G371800 | (05) | CA |
| 00G371800 | BLUE SHIELD (01) | CA |
| A89635 | (02) | |
| P00745248 | MEDICARE RAILROAD CARRIER (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers.
Subpart examples include: Hospital components include outpatient departments, surgical centers,
psychiatric units, and laboratories. These components are often separately licensed or certified by
States and may exist at physical locations other than that of the hospital of which they are a
component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if
an individual) or other name by which the organization provider is or has been known. The code
identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date
The date that a NPI record was last updated or changed
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the PI application or to officially change data for a health care provider.