Individual provider Active NPI

Jeremiah Paul Smith, AU.D.

  • Audiologist
  • Oakwood, OH
National Provider Identifier
1871753772
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A.01643 Issued in OH
Practice address
105 Sugar Camp Cir Ste 231
Oakwood, OH 45409-1979
Phone
(937) 367-5609
Fax
(937) 518-7797
NPI assigned
Jun 13, 2008
Last updated
Sep 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A.01643 OH Primary

Addresses

Primary practice location

105 Sugar Camp Cir Ste 231
Oakwood, OH 45409-1979

Mailing address

105 Sugar Camp Cir Ste 231
Oakwood, OH 45409-1979
Phone (937) 367-5609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230404001236 OH Practitioner - Qualified Audiologist 1456726512 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Audiology Corporation Audiologist CurrentSince Mar 13, 2023 Accepting new patients

Locations

100 Crossing Blvd
Ste 300
Framingham, MA 01702
Phone (857) 255-0486

655 Metro Pl S
Ste 600
Dublin, OH 43017
Phone (614) 323-3578

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1871753772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SUGAR CAMP CIR STE 231",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454091979",
            "telephone_number": "937-367-5609",
            "fax_number": "937-518-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SUGAR CAMP CIR STE 231",
            "city": "OAKWOOD",
            "state": "OH",
            "postal_code": "454091979",
            "telephone_number": "937-367-5609",
            "fax_number": "937-518-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JEREMIAH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OH",
            "license": "A.01643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.