DR. JACK DALE SMITH M.D.
NPI 1043248818
Urology in Woodland, CA

Active since June 29, 2006
1321 COTTONWOOD ST, SUITE 302, WOODLAND, CA 95695(530) 666-1631 Get Directions Write a Review

NPPES record last updated: May 24, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Jack Dale Smith M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK DALE SMITH M.D. (NPI 1043248818) is an individual urology provider in Woodland, California, licensed in California (G37180) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1043248818
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JACK DALE SMITHCredential: M.D.
Location Address1321 COTTONWOOD ST, SUITE 302Woodland, CA 95695-5131
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Sole ProprietorNo
Enumeration DateJune 29, 2006
Last NPPES UpdateMay 24, 2017
✔ NPI 1043248818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in CA · G37180
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1321 COTTONWOOD ST, Woodland, CA 95695

Other Names 1

Other Name (5)Dr. J. Dale Smith M.d.

Other Identifiers 6

Medicare UPINA89635
Medicaid00G371800CA
Other00G371800CA · Blue Shield
Medicare PIN00G371802CA
OtherP00745248CA · Medicare Railroad Carrier
Medicare ID-Type Unspecified00G371800CA

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Obstetrics & Gynecology)
1321 COTTONWOOD ST
WOODLAND, CA 95695
Urology
1321 COTTONWOOD ST, 3RD FLOOR
WOODLAND, CA 95695
Obstetrics & Gynecology
1321 COTTONWOOD ST
WOODLAND, CA 95695
Internal Medicine (Gastroenterology)
1321 COTTONWOOD ST, SUITE 203
WOODLAND, CA 95695
Otolaryngology
1321 COTTONWOOD ST, SUITE 205
WOODLAND, CA 95695
Internal Medicine (Gastroenterology)
1321 COTTONWOOD ST, SUITE 203
WOODLAND, CA 95695
Otolaryngology (Facial Plastic Surgery)
1321 COTTONWOOD ST
WOODLAND, CA 95695
Surgery
1321 COTTONWOOD ST, SUITE 203
WOODLAND, CA 95695

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Smith's NPI number?

The NPI number for Jack Smith is 1043248818. It was assigned to this individual provider in the NPPES registry on June 29, 2006. The provider is also known as Dr. J. Dale Smith M.D..

Where is Jack Smith located?

Jack Smith practices at 1321 Cottonwood St Suite 302, Woodland, CA 95695. The listed phone number is (530) 666-1631.

What is Jack Smith's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Jack Smith was last updated on May 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.