Jared M. Smith, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8457 Issued in CO

Practice address

618 Main St
Canon City, CO 81212-3737

Phone

(719) 275-0661

NPI assigned

Mar 28, 2006

Last updated

Jan 10, 2008By the provider in NPPES

Sex

Male

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 CO

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jared M. Smith DMD, PC

  • Dental Clinic/Center
  • Canon City, CO
  • NPI 1548638711
  NPD (past) Authorized official
• Jared M. Smith, D.M.D., P.C.

  • Dentist
  • Canon City, CO
  • NPI 1508042482
  NPD (past) Authorized official

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1275593683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 EAGLE DR E",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129649",
            "telephone_number": "719-269-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MAIN ST",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812123737",
            "telephone_number": "719-275-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JARED",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "8457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyline Vision Optical LLC
• Skylink Medalarms (Commstar Alarms)
• Brendia J. Sloan, LPC
• Smile Doctors of Colorado, P.C.
• Deborah A Smith, OTR
• Jessica Smith
• Leif Smith, CFY - SLP
• Patricia Elizabeth Smith, MS
• Tamara Smith
• Kari Lynn Snelson, LCSW

• General Practice Dentistry in Canon City, CO
• Providers in Canon City, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.