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DR. WYATT L SMITH DDS
NPI 1356564512
Dentist - General Practice in Gary, IN

Active since April 10, 2007PECOS Enrolled
5010 BROADWAY, GARY, IN 46408(219) 887-6053(219) 887-3626 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Wyatt L Smith Dds NPPES

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

DR. WYATT L SMITH DDS (NPI 1356564512) is an individual general practice provider in Gary, Indiana, licensed in Indiana (8147) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356564512
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. WYATT L SMITHCredential: DDS
Location Address5010 BROADWAYGary, IN 46408-4606
Mailing Address5010 BroadwayGary, IN 46408-4606 · (219) 887-6053 · Fax (219) 887-3626
Phone(219) 887-6053
Fax(219) 887-3626
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1356564512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 8147
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.
5010 BROADWAY, Gary, IN 46408
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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. Wyatt L 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 46408 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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 Wyatt Smith's NPI number?

The NPI number for Wyatt Smith is 1356564512. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Wyatt Smith located?

Wyatt Smith practices at 5010 Broadway, Gary, IN 46408. The listed phone number is (219) 887-6053.

What is Wyatt Smith's specialty?

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

Is Wyatt Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Wyatt Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.