Individual provider Active NPI

John Duncan Smith Jr., DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Houston, TX
National Provider Identifier
1891884052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
12241 Issued in TX
Practice address
1213 Hermann Dr
Ste 250
Houston, TX 77004-7018
Phone
(713) 942-8188
Fax
(713) 942-9432
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 12241 TX Primary

Addresses

Primary practice location

1213 Hermann Dr
Ste 250
Houston, TX 77004-7018

Mailing address

1213 Hermann Dr
Ste 250
Houston, TX 77004-7018
Phone (713) 942-8188

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20071219000133 TX Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 3971693672 Reassigns benefits to 1 organization
Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris County Hospital DistrictGroup PAC ID 1456346402, 21 clinicians

Practice addresses (Care Compare)

1504 Taub Loop
Houston, TX 77030-1608
Phone (713) 873-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
12241TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nexus Behavioral Care PA CurrentSince Feb 4, 2024 Accepting new patients
Harris County Hospital District CurrentSince Nov 6, 2023 Accepting new patients
Harris County Hospital District Oral and Maxillofacial Surgery CurrentSince Nov 6, 2023 Accepting new patients

Locations

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

2118 Washington Ave
Houston, TX 77007
Phone (713) 869-3551

11455 Fallbrook Dr
Ste 302
Houston, TX 77065
Phone (281) 890-1158

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891884052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-942-8188",
            "fax_number": "713-942-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 HERMANN DR",
            "address_2": "STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047018",
            "telephone_number": "713-942-8188",
            "fax_number": "713-942-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JOHN",
        "middle_name": "DUNCAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "12241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.