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TIMOTHY MICHAEL SMITH
NPI 1306361076
Peer Specialist in Dale, OK

Active since August 03, 2017
101 OKLAHOMA AVE, DALE, OK 74851(805) 901-7119 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 3, 2017 (2 updates tracked since 2017).

About Timothy Michael Smith NPPES

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

TIMOTHY MICHAEL SMITH (NPI 1306361076) is an individual peer specialist in Dale, Oklahoma and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1306361076
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameTIMOTHY MICHAEL SMITH
Location Address101 OKLAHOMA AVEDale, OK 74851-8222
Mailing Address101 Oklahoma AveDale, OK 74851-8222 · (805) 901-7119
Phone(805) 901-7119
Sole ProprietorYes
Enumeration DateAugust 3, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1306361076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
101 OKLAHOMA AVE, Dale, OK 74851
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Timothy Smith's NPI number?

The NPI number for Timothy Smith is 1306361076. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Timothy Smith located?

Timothy Smith practices at 101 Oklahoma Ave, Dale, OK 74851. The listed phone number is (805) 901-7119.

What is Timothy Smith's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Timothy Smith was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.