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ALEXANDRA BACON SMITH DMD
NPI 1215374277
Dentist in Springfield, IL

Active since May 31, 2013PECOS Enrolled
2965 S MACARTHUR BLVD STE A, SPRINGFIELD, IL 62704(217) 698-1717(217) 698-7134 Get Directions Write a Review

NPPES record last updated: May 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alexandra Bacon Smith Dmd NPPES

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

ALEXANDRA BACON SMITH DMD (NPI 1215374277) is an individual dentist in Springfield, Illinois, licensed in Illinois (019029389) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215374277
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameALEXANDRA BACON SMITHCredential: DMD
Location Address2965 S MACARTHUR BLVD STE ASpringfield, IL 62704-5087
Mailing Address2965 S Macarthur Blvd Ste ASpringfield, IL 62704-5087 · (217) 698-1717 · Fax (217) 698-7134
Phone(217) 698-1717
Fax(217) 698-7134
Sole ProprietorNo
Enumeration DateMay 31, 2013
✔ NPI 1215374277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019029389
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.
2965 S MACARTHUR BLVD STE A, Springfield, IL 62704
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alexandra Bacon Smith Dmd 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 62704 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.

STACIE D BEASLEY DDS
Dentist
2965 S MACARTHUR BLVD STE A
SPRINGFIELD, IL 62704
Sangamon County (217) 698-1717

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 Alexandra Smith's NPI number?

The NPI number for Alexandra Smith is 1215374277. It was assigned to this individual provider in the NPPES registry on May 31, 2013.

Where is Alexandra Smith located?

Alexandra Smith practices at 2965 S Macarthur Blvd Ste A, Springfield, IL 62704. The listed phone number is (217) 698-1717.

What is Alexandra Smith's specialty?

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

Is Alexandra Smith enrolled in Medicare?

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

What insurance does Alexandra Smith accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Alexandra Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandra Smith was last updated on May 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.