DR. RYAN J SMITH DDS
NPI 1124689005
Dentist - General Practice in Jefferson City, MO

Q: What is Ryan Smith's NPI number?

The NPI number for Ryan Smith is 1124689005. It was assigned to this individual provider in the NPPES registry on June 22, 2019.

Q: What is Ryan Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Smith was last updated on June 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 22, 2019PECOS Enrolled

1511 CHRISTY DR, JEFFERSON CITY, MO 65101(573) 632-2777 Get Directions Write a Review

NPPES record last updated: June 22, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Ryan J Smith Dds NPPES

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

DR. RYAN J SMITH DDS (NPI 1124689005) is an individual general practice provider in Jefferson City, Missouri, licensed in Missouri (2019022749) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124689005

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RYAN J SMITHCredential: DDS

Location Address1511 CHRISTY DRJefferson City, MO 65101-2854

Mailing Address4905 Hatteras DrColumbia, MO 65202-6454 · (314) 229-4225

Phone(573) 632-2777

Sole ProprietorNo

Enumeration DateJune 22, 2019

✔ NPI 1124689005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MO · 2019022749

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.

1511 CHRISTY DR, Jefferson City, MO 65101

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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. Ryan J 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 65101 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.