DR. JOHN E SMOLNICKY D. D. S
NPI 1508010042
Dentist in Valparaiso, IN

Active since November 11, 2008PECOS Enrolled
1751 THORNAPPLE CIR, VALPARAISO, IN 46385(219) 464-1141(219) 923-8873 Get Directions Write a Review

NPPES record last updated: November 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. John E Smolnicky D. D. S NPPES

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

DR. JOHN E SMOLNICKY D. D. S (NPI 1508010042) is an individual dentist in Valparaiso, Indiana, licensed in Indiana (12008756A) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508010042
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN E SMOLNICKYCredential: D. D. S
Location Address1751 THORNAPPLE CIRValparaiso, IN 46385-6164
Mailing Address1751 Thornapple CirValparaiso, IN 46385-6164 · (219) 464-1141 · Fax (219) 923-8873
Fax(219) 923-8873
Sole ProprietorNo
Enumeration DateNovember 11, 2008
✔ NPI 1508010042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12008756A
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.
1751 THORNAPPLE CIR, Valparaiso, IN 46385

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John E Smolnicky 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.

Medicare Billing Reassignment

Medicare enrollment records show John Smolnicky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rehabilitation, Substance Use Disorder
8555 TAFT ST
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 25 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46385 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.

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
1751 THORNAPPLE CIR
VALPARAISO, IN 46385

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 John Smolnicky's NPI number?

The NPI number for John Smolnicky is 1508010042. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Where is John Smolnicky located?

John Smolnicky practices at 1751 Thornapple Cir, Valparaiso, IN 46385. The listed phone number is (219) 464-1141.

What is John Smolnicky's specialty?

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

Is John Smolnicky enrolled in Medicare?

Yes. John Smolnicky is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Smolnicky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Smolnicky reassigns Medicare benefits to Southlake Community Mental Health Center, Inc (Merrillville, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Smolnicky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Smolnicky accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list John Smolnicky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Smolnicky was last updated on November 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.