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DR. GREGORY JAMES SMITH D.D.S.
NPI 1376508952
Dentist in St. Paul, MN

Active since April 18, 2006Opted out of Medicare · through Dec 22, 2027
1651 NORTH DALE STREET, ST. PAUL, MN 55117(651) 488-5888(651) 488-8425 Get Directions Write a Review

NPPES record last updated: August 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Gregory James Smith D.d.s. NPPES

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

DR. GREGORY JAMES SMITH D.D.S. (NPI 1376508952) is an individual dentist in St. Paul, Minnesota, licensed in Minnesota (D9117) and active in the NPI registry since April 2006. He has opted out of Medicare through December 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376508952
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. GREGORY JAMES SMITHCredential: D.D.S.
Location Address1651 NORTH DALE STREETSt. Paul, MN 55117
Mailing Address1651 North Dale StreetSt. Paul, MN 55117 · (651) 488-5888 · Fax (651) 488-8425
Phone(651) 488-5888
Fax(651) 488-8425
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateAugust 26, 2009
✔ NPI 1376508952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D9117
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License D9117 (MN)
1651 NORTH DALE STREET, St. Paul, MN 55117
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gregory James Smith D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 22, 2015 through December 22, 2027.

Opt-Out Effective DateDecember 22, 2015
Opt-Out In Effect ThroughDecember 22, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55117 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.

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 Gregory Smith's NPI number?

The NPI number for Gregory Smith is 1376508952. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Gregory Smith located?

Gregory Smith practices at 1651 North Dale Street, St. Paul, MN 55117. The listed phone number is (651) 488-5888.

What is Gregory Smith's specialty?

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

Is Gregory Smith enrolled in Medicare?

No. Gregory Smith has opted out of Medicare through December 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Gregory Smith was last updated on August 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.