MR. SID C SMITH DDS
NPI 1083605257
Dentist in Monmouth, IL

Q: What is Sid Smith's NPI number?

The NPI number for Sid Smith is 1083605257. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Q: What is Sid Smith's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sid Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since November 04, 2005PECOS Enrolled

119 E CLINTON AVE, MONMOUTH, IL 61462(309) 734-3611(309) 734-8080 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Sid C Smith Dds NPPES

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

MR. SID C SMITH DDS (NPI 1083605257) is an individual dentist in Monmouth, Illinois and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083605257

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMR. SID C SMITHCredential: DDS

Location Address119 E CLINTON AVEMonmouth, IL 61462-5710

Mailing Address119 E Clinton Ave, Po Box 645Monmouth, IL 61462-5710 · (309) 734-3611 · Fax (309) 734-8080

Phone(309) 734-3611

Fax(309) 734-8080

Sole ProprietorNo

Enumeration DateNovember 4, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083605257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

119 E CLINTON AVE, Monmouth, IL 61462

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sid C Smith Dds 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 61462 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PHILIP GENE SEXTON D.D.S.

Dentist (General Practice)

119 E CLINTON AVE
MONMOUTH, IL 61462

Warren County (309) 734-4913

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 Sid Smith's NPI number?

The NPI number for Sid Smith is 1083605257. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Sid Smith located?

Sid Smith practices at 119 E Clinton Ave, Monmouth, IL 61462. The listed phone number is (309) 734-3611.

What is Sid Smith's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sid Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Sid Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.