DR. KATHERINE MARY SMITH D.D.S.
NPI 1275889230
Dentist - Periodontics in St Louis Park, MN

Q: What is Katherine Smith's NPI number?

The NPI number for Katherine Smith is 1275889230. It was assigned to this individual provider in the NPPES registry on July 27, 2012. The provider is also known as Dr. Katherine Mary Motz D.D.S..

Q: What is Katherine Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Smith was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since July 27, 2012PECOS Enrolled

3555 LOUISIANA AVE S, ST LOUIS PARK, MN 55426(952) 935-9009 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Dr. Katherine Mary Smith D.d.s. NPPES

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

DR. KATHERINE MARY SMITH D.D.S. (NPI 1275889230) is an individual periodontics provider in St Louis Park, Minnesota, licensed in Minnesota (13599) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275889230

Entity TypeIndividualFemale

Primary Taxonomy1223P0300X

Provider Legal NameDR. KATHERINE MARY SMITHCredential: D.D.S.

Location Address3555 LOUISIANA AVE SSt Louis Park, MN 55426-4121

Mailing Address1383 Ozark RdgCoralville, IA 52241-3028 · (605) 595-4793

Phone(952) 935-9009

Sole ProprietorNo

Enumeration DateJuly 27, 2012

Last NPPES UpdateDecember 18, 2024

NPPES CertifiedDecember 18, 2024

✔ NPI 1275889230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in MN · 13599

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

3555 LOUISIANA AVE S, St Louis Park, MN 55426

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Other Names 1

Former Name (1)Dr. Katherine Mary Motz D.d.s.

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. Katherine Mary Smith D.d.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 55426 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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. SHAHIR NEHAD ABDEL-MALEK

Dentist (Periodontics)

3555 LOUISIANA AVE S
SAINT LOUIS PARK, MN 55426

Hennepin County (202) 280-4401

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 Katherine Smith's NPI number?

The NPI number for Katherine Smith is 1275889230. It was assigned to this individual provider in the NPPES registry on July 27, 2012. The provider is also known as Dr. Katherine Mary Motz D.D.S..

Where is Katherine Smith located?

Katherine Smith practices at 3555 Louisiana Ave S, St Louis Park, MN 55426. The listed phone number is (952) 935-9009.

What is Katherine Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Katherine Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Katherine Smith was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.