Jeremy D. Smith, DDS, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3384 Issued in AR

Legal business name

JEREMY D. SMITH, DDS, PA

Practice address

604 S 52ND St
Rogers, AR 72758-8601

Phone

(479) 636-2990

Fax

(479) 636-2999

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

Stephanie Tackel

Title

Treatment Coordinator

Phone

(479) 636-2990

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jeremy Smith, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rogers, AR
  • NPI 1609980242
  NPD (past)

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1760627301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588601",
            "telephone_number": "479-636-2990",
            "fax_number": "479-636-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S 52ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588601",
            "telephone_number": "479-636-2990",
            "fax_number": "479-636-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY D. SMITH, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "TACKEL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "TREATMENT COORDINATOR",
        "authorized_official_telephone_number": "479-636-2990"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "3384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Jeffries, MD
• Aaron Jennings
• Zoe Madeline Jennings, M.S., CF-SLP
• Janci Jensen
• Jane Jeon, PHARMD
• Jerry F. Hines D.C. Inc
• Rosalynn Jessee
• Maria Jimenez
• Joe Hines Chiropractic, Inc.
• John a Huskins MD LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Rogers, AR
• Providers in Rogers, AR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.