Jacob Daniel Smestad, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D12807 Issued in MN

Practice address

2020 1St Ave
Hibbing, MN 55746-1728

Phone

(218) 263-8951

NPI assigned

Jun 16, 2010

Last updated

Jun 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• North Star Dental Care, P.C.

  • General Practice Dentistry
  • Hibbing, MN
  • NPI 1528455656
  NPD (past) Authorized official
• David Gunelson DDS

  • General Practice Dentistry
  • Hibbing, MN
  • NPI 1982908315
  NPD (past)

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276646400000",
    "number": "1891016523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 1ST AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461728",
            "telephone_number": "218-263-8951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 1ST AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "557461728",
            "telephone_number": "218-263-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMESTAD",
        "first_name": "JACOB",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sister Strength PT
• Joseph Skaja
• Molly Elizabeth Skifstad, PHARM. D.
• Sleeprite Medical LLC
• Smart Spine Community Chiropractic, Inc
• Krista L Smith, APRN-CNP
• Barbara Sotzsky, RN
• Arla Spencer
• Teresa Angela Venditto St George, M.D.
• Michael Bryan St Martin, PHARMD

• General Practice Dentistry in Hibbing, MN
• Providers in Hibbing, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.