John Michael Smith, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

17587 Issued in OH

Practice address

15380 Bagley Rd
Middleburg Heights, OH 44130-4824

Phone

(440) 888-6300

Fax

(440) 888-6329

NPI assigned

May 27, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497758122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 COUNTRYSIDE DR",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441473413",
            "telephone_number": "440-582-0612",
            "fax_number": "440-582-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15380 BAGLEY RD",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441304824",
            "telephone_number": "440-888-6300",
            "fax_number": "440-888-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "17587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0596029",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA INSURANC",
            "identifier": "483091",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Celeste Madeline Sloan, MS, BCBA, LBA, COBA
• Lindsay Smetana, MSSA
• Smile Center USA, LLC
• Austin Brooks Smith, APRN, CNP
• Jamie Smith
• Jessica Brady Snow, M.A, LPCC-S
• Franklin Socha
• Narges Sohrabi, PHARMD
• Natalie Soltysiak, PHARMD
• Jason Carl Sopkovich, LPC LICDC

• Pediatric Dentistry in Middleburg Heights, OH
• Providers in Middleburg Heights, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.