Jolanta Smyda, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26559 Issued in TX

Practice address

4101 84TH St
Ste C
Lubbock, TX 79423-1950

Phone

(806) 698-6684

Fax

(806) 698-1444

NPI assigned

Jun 2, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1073807574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N COUNTY ROAD 1660",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794169334",
            "telephone_number": "313-445-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 84TH ST",
            "address_2": "STE C",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231950",
            "telephone_number": "806-698-6684",
            "fax_number": "806-698-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMYDA",
        "first_name": "JOLANTA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Smith, MD
• Stephanie Lynn Smith
• Steven D Smith, O.D.
• Presley Strange Smithwick IV, RPH
• Sara Ann Smock, PHD
• John Robert Smyer, MD
• Alvin Lee Sneed, MD
• Susan Sneed, M.S., CCC-SLP
• Zachery Brian Sneed, PHD
• Megan Elizabeth Sneller, PHARMD

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.