Julie Ann Smith, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

08913 Issued in IA

Practice address

310 NW 18TH St.
Ankeny, IA 50023-2077

Phone

(515) 963-9600

Fax

(515) 963-0162

NPI assigned

Jul 6, 2012

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Locations

Interoperability endpoints

• Direct secure messaging: jsmith680066@direct.unitypoint.org

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

• Ankeny Children's Dental PC

  • Pediatric Dentistry
  • Ankeny, IA
  • NPI 1639646680
  NPD
• St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Ankeny Aesthetic Dentistry

  • General Practice Dentistry
  • Ankeny, IA
  • NPI 1205191681
  NPD (past)

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1477818326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 NW 18TH ST.",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "50023",
            "telephone_number": "515-963-9600",
            "fax_number": "515-963-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 NW 18TH ST.",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232077",
            "telephone_number": "515-963-9600",
            "fax_number": "515-963-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "08913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127561886",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colton Smith, DPT
• Emma Smith
• Erika Smith
• Jacob Brigham Smith, MD
• Jacqueline Renee Smith, DDS
• Katrina A. Smith, MD
• Marisa Kay Smith, LMSW
• Meghann Smith, PA-C
• Michaela Smith, BCBA, LBA
• Nicholas Rindels Smith, D.D.S., M.S.

• Pediatric Dentistry in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.