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DR. JONATHAN TYLER SMITH MD
NPI 1255913307
General Practice in Fallon, NV

Active since April 27, 2021
4755 PASTURE RD BLDG 299, FALLON, NV 89496(775) 426-3128 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Apr 27, 2021 (2 updates tracked since 2021).

About Dr. Jonathan Tyler Smith Md NPPES

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

DR. JONATHAN TYLER SMITH MD (NPI 1255913307) is an individual general practice provider in Fallon, Nevada, licensed in Virginia (0101283882) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1255913307
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JONATHAN TYLER SMITHCredential: MD
Location Address4755 PASTURE RD BLDG 299Fallon, NV 89496-5000
Mailing Address4755 Pasture Rd Bldg 299Fallon, NV 89496-5000 · (775) 426-3128
Phone(775) 426-3128
Sole ProprietorYes
Enumeration DateApril 27, 2021
Last NPPES UpdateAugust 11, 20252 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
✔ NPI 1255913307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in VA · 0101283882
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 0101283882 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4755 PASTURE RD BLDG 299, Fallon, NV 89496
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Other Providers at the Same Location NPPES 5

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

DR. JOHN C. MARINUCCI DDS
Dentist (General Practice)
4755 PASTURE RD BLDG 299
FALLON, NV 89496
Churchill County (775) 426-2811
NHC LEMOORE
Military/U.S. Coast Guard Pharmacy
4755 PASTURE RD BLDG 299
FALLON, NV 89496
Churchill County (775) 426-3122
DR. KIMBERLY SUSAN BORCH DMD
Dentist
4755 PASTURE RD BLDG 299
FALLON, NV 89496
Churchill County (775) 426-2811
MR. CHRISTOPHER SCOTT WALLER IDC
Physician Assistant
4755 PASTURE RD BLDG 299
FALLON, NV 89496
Churchill County (775) 426-3125
KATHERINE TOPE ADEOJO FNP
Nurse Practitioner (Occupational Health)
4755 PASTURE RD BLDG 299
FALLON, NV 89496
Churchill County (775) 426-3104

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 Jonathan Smith's NPI number?

The NPI number for Jonathan Smith is 1255913307. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Where is Jonathan Smith located?

Jonathan Smith practices at 4755 Pasture Rd Bldg 299, Fallon, NV 89496. The listed phone number is (775) 426-3128.

What is Jonathan Smith's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jonathan Smith was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.