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DR. JAMIE LYNN SMITH D.D.S., M.S.
NPI 1093926768
Dentist - Pediatric Dentistry in Peoria Heights, IL

Active since May 24, 2007PECOS Enrolled
4207 N PROSPECT RD, PEORIA HEIGHTS, IL 61616(309) 685-4444 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jamie Lynn Smith D.d.s., M.s. NPPES

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

DR. JAMIE LYNN SMITH D.D.S., M.S. (NPI 1093926768) is an individual pediatric dentistry provider in Peoria Heights, Illinois, licensed in Illinois (021002311) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093926768
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JAMIE LYNN SMITHCredential: D.D.S., M.S.
Location Address4207 N PROSPECT RDPeoria Heights, IL 61616-7754
Mailing Address11013 N Onyx LnDunlap, IL 61525-9579 · (309) 243-8359
Phone(309) 685-4444
Sole ProprietorNo
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 22, 2013
✔ NPI 1093926768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 021002311
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentistTaxonomy 122300000X · License 01927346 (IL)
4207 N PROSPECT RD, Peoria Heights, IL 61616
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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)

Dr. Jamie Lynn Smith D.d.s., M.s. 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 61616 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.

CLOVE DENTAL PLLC
Dentist
4207 N PROSPECT RD
PEORIA HEIGHTS, IL 61616
Peoria County (309) 323-8884

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 Jamie Smith's NPI number?

The NPI number for Jamie Smith is 1093926768. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Jamie Smith located?

Jamie Smith practices at 4207 N Prospect Rd, Peoria Heights, IL 61616. The listed phone number is (309) 685-4444.

What is Jamie Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jamie Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jamie Smith was last updated on August 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.