JENNIFER NICOLE SMITH DDS
NPI 1396151817
Dentist - General Practice in Longview, TX

Q: What is Jennifer Smith's NPI number?

The NPI number for Jennifer Smith is 1396151817. It was assigned to this individual provider in the NPPES registry on July 3, 2014.

Q: What is Jennifer Smith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Smith was last updated on August 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 03, 2014PECOS Enrolled

1107 E MARSHALL AVE, LONGVIEW, TX 75601(903) 758-2610(903) 758-7081 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jennifer Nicole Smith Dds NPPES

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

JENNIFER NICOLE SMITH DDS (NPI 1396151817) is an individual general practice provider in Longview, Texas, licensed in Texas (30186) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gilmer.

NPPES Registry Identity

NPI1396151817

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameJENNIFER NICOLE SMITHCredential: DDS

Location Address1107 E MARSHALL AVELongview, TX 75601-5602

Mailing Address1107 E Marshall AveLongview, TX 75601-5602 · (903) 758-2610 · Fax (903) 758-7081

Phone(903) 758-2610

Fax(903) 758-7081

Sole ProprietorNo

Enumeration DateJuly 3, 2014

Last NPPES UpdateAugust 26, 2025

NPPES CertifiedAugust 26, 2025

✔ NPI 1396151817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 30186

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.

Also ListedDentistTaxonomy 122300000X · License 30186 (TX)

1107 E MARSHALL AVE, Longview, TX 75601

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Secondary Practice Location 1

Location 1602 Titus St Ste 130Gilmer, TX 75644-1780 · Phone (903) 758-2610 · Fax (903) 758-7081

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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)

Jennifer Nicole 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 75601 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 20

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

LIZETH GARCIA RN

Registered Nurse (Case Management)