Jeffrey Smith MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JEFFREY SMITH MD PC

Practice address

1033 Basin Ave
Bismarck, ND 58504-6649

Phone

(701) 223-6613

Fax

(701) 221-9114

NPI assigned

Jul 16, 2007

Last updated

Feb 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danita Deichert

Title

Ins/Billing

Phone

(701) 223-6613

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey A Smith, MD

  • Family Medicine Physician
  • Bismarck, ND
  • NPI 1629017785
  Medicare reassignment Care Compare group NPD
• Olise M Torske, PA-C

  • Medical Physician Assistant
  • Bismarck, ND
  • NPI 1083910426
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1275732638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 BASIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046649",
            "telephone_number": "701-223-6613",
            "fax_number": "701-221-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 BASIN AVE",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585046649",
            "telephone_number": "701-223-6613",
            "fax_number": "701-221-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY SMITH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A",
        "authorized_official_last_name": "DEICHERT",
        "authorized_official_first_name": "DANITA",
        "authorized_official_title_or_position": "INS/BILLING",
        "authorized_official_telephone_number": "701-223-6613"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15343",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sadaf Javaid-Kayani, MD
• Mian M Javaid
• Faiza Javed, MD
• JCF Professional Services PLLC
• Jeffrey Askew DC PC (Askew Chiropractic Clinic)
• Lindsay Jellesed, LAC
• Elizabeth K Jenkins, NNP-BC
• Madison Jensen, OTD, OTR/L
• Stephanie L Jensen, LRD
• Josi Ann Jenson, DC

• Family Medicine Physician in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Family Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.