Jennifer Lynae Smith, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8773 Issued in IA

Practice address

5708 Sunnybrook Dr.
Sioux City, IA 51106

Phone

(712) 224-4001

Fax

(712) 224-4004

NPI assigned

Jul 14, 2011

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

Other names 1

• Dr. Jennifer Lynae Gotch Former name

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1821386616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5708 SUNNYBROOK DR.",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51106",
            "telephone_number": "712-224-4001",
            "fax_number": "712-224-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5708 SUNNYBROOK DR.",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51106",
            "telephone_number": "712-224-4001",
            "fax_number": "712-224-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "middle_name": "LYNAE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "8773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GOTCH",
            "middle_name": "LYNAE",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashley Elizabeth Smith, PT, DPT
• Diane M Smith, CRNA
• Dylan Grant Smith, MD
• Emily Christine Smith, MS, RD, LD, CLC
• Gladys Smith, LISW
• Laurie Ann Smith, OT
• Roxann Smith, CADC
• Sarah J Smith, RN
• Jeffry B. Snell, PH.D.
• Caleb Remle Sneller, DC

• General Practice Dentistry in Sioux City, IA
• Providers in Sioux City, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.