Organization Active NPI

Jennifer a Smith OB GYN LLC

  • Obstetrics & Gynecology Physician
  • Dayton, OH
National Provider Identifier
1124541636
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
130559 Issued in OH
Legal business name
JENNIFER A SMITH OB GYN LLC
Practice address
5701 Far Hills Ave
Dayton, OH 45429-2207
Phone
(937) 435-6222
NPI assigned
Jul 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Dr. Jennifer Anderson Smith, MDNPI 1407299431
Title
Owner
Phone
(309) 838-6685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 130559 OH Primary

Addresses

Primary practice location

5701 Far Hills Ave
Dayton, OH 45429-2207

Mailing address

5701 Far Hills Ave
Dayton, OH 45429-2207
Phone (937) 435-6222

Other names 1

  • Jennifer A Smith OB/GYN LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190412002133 OH Part B Supplier - Clinic/Group Practice 2264773597 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2130646Jennifer a Smith OB/GYN LLC5701 Far Hills Ave, Dayton, OH 45429Provider-performed microscopyMay 14, 2027

National Provider Directory

National Provider Directory

Locations

1 Wyoming St
Ste 3120
Dayton, OH 45409
Phone (937) 208-5665

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1124541636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292207",
            "telephone_number": "937-435-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 FAR HILLS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454292207",
            "telephone_number": "937-435-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER A SMITH OB GYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-18",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-838-6685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "130559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jennifer A Smith OB/GYN LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.