Jared Smith, Professional LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JARED SMITH, PROFESSIONAL LLC

Practice address

17 County Road 68
Bailey, CO 80421

Phone

(303) 838-2224

NPI assigned

Jan 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jared Spencer Smith, DMDNPI 1376926303

Title

Owner Dentist

Phone

(801) 979-9342

Specialties & licenses 5

Addresses

Other names 1

• Bailey Dental Doing business as

Practitioners 1

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

• Jared Spencer Smith, DMD

  • Dentist
  • Mesa, AZ
  • NPI 1376926303
  NPD (past) Authorized official

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1992279384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16241 BLUEBONNET DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343540",
            "telephone_number": "801-979-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 COUNTY ROAD 68",
            "city": "BAILEY",
            "state": "CO",
            "postal_code": "80421",
            "telephone_number": "303-838-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARED SMITH, PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "801-979-9342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bailey Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Saltzman PHD
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• Theresa B Johnson
• Jacqueline Jones
• Rebecca Lynne Jordan, RMT
• Melanie Kennedy

• All providers in Bailey, CO
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.