1. Home
  2. Directory
  3. Pennsylvania
  4. Leechburg
  5. Dentist
  6. NPI Profile

DR. JOHN KENNETH SMITH D.M.D.
NPI 1063791754
Dentist - General Practice in Leechburg, PA

Active since August 11, 2011PECOS Enrolled
10 MAIN ST, LEECHBURG, PA 15656(724) 845-8631 Get Directions Write a Review

NPPES record last updated: August 11, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. John Kenneth Smith D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN KENNETH SMITH D.M.D. (NPI 1063791754) is an individual general practice provider in Leechburg, Pennsylvania, licensed in Pennsylvania (DS021942L) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063791754
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHN KENNETH SMITHCredential: D.M.D.
Location Address10 MAIN STLeechburg, PA 15656-1239
Mailing Address10 Main StLeechburg, PA 15656-1239 · (724) 845-8631
Phone(724) 845-8631
Sole ProprietorYes
Enumeration DateAugust 11, 2011
✔ NPI 1063791754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS021942L
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10 MAIN ST, Leechburg, PA 15656
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Kenneth Smith D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15656 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Smith's NPI number?

The NPI number for John Smith is 1063791754. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is John Smith located?

John Smith practices at 10 Main St, Leechburg, PA 15656. The listed phone number is (724) 845-8631.

What is John Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is John Smith enrolled in Medicare?

Yes. John Smith is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Smith was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.