Jill R Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7391 Issued in NE

Practice address

725 Burlington St
Holdrege, NE 68949-2166

Phone

(308) 995-5331

NPI assigned

Jun 23, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Holdrege Dental Arts

  • Dental Clinic/Center
  • Holdrege, NE
  • NPI 1598426652
  NPD Authorized official

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1669992392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BURLINGTON ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492166",
            "telephone_number": "308-995-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BURLINGTON ST",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492166",
            "telephone_number": "308-995-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILL",
        "middle_name": "R",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "7391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynse Linete Schmidt
• Miranda Sheets
• Shopko Stores Operating Co LLC (Shopko Pharmacy 690)
• Krystin Skeen
• Brandon J Smith, DPT
• Kayla C Smith
• Shane Michael Smith, M.D.
• Susanne M Smith
• Thomas Ballenger Smith, M.D.
• Debra Smolik, PHARMD

• General Practice Dentistry in Holdrege, NE
• Providers in Holdrege, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.