Jacqueline Smith DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JACQUELINE SMITH DDS PC

Practice address

306 SW Walnut St
Ankeny, IA 50023-3042

Phone

(515) 964-0621

NPI assigned

Nov 28, 2022

Organization subpart

No

Name

Dr. Jacqueline Renee Smith, DDSNPI 1609493915

Title

Owner

Phone

(515) 313-1402

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Renee Smith, DDS

  • General Practice Dentistry
  • Ankeny, IA
  • NPI 1609493915
  NPD Authorized official
• Stephen Matthhew Karbacka, D.D.S.

  • General Practice Dentistry
  • Ankeny, IA
  • NPI 1023144102
  NPD (past)
• Jeff Scott Stewart

  • General Practice Dentistry
  • Ankeny, IA
  • NPI 1609926492
  NPD (past)

Locations

• Ankeny Dental Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 28, 2022.

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1760192157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 SW WALNUT ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500233042",
            "telephone_number": "515-964-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 SW WALNUT ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500233042",
            "telephone_number": "515-964-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE SMITH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-313-1402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ankeny Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terrilee Jackel, ARNP
• Christina Jackson
• Kindra Ah Jacobsen, MSN, RN, ARNP, FNP-C
• Kyli Jacobsen
• Grant Jacobson, PT, DPT
• Jagnandan-Lensch PLC
• Laks Jagnandan, DDS
• James W Collins DDS PC
• Danika Janic
• Kelly N Jansma, OD

• All providers in Ankeny, IA
• Dental Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.