MATTHEW SMITH DMD
NPI 1558743328
Dentist - Orthodontics and Dentofacial Orthopedics in Jacksonville, FL

Active since June 29, 2015Opted out of Medicare · through Nov 1, 2026
15492 MAX LEGGETT PARKWAY, SUITE 2, JACKSONVILLE, FL 32218(904) 414-4500 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Matthew Smith Dmd NPPES

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

MATTHEW SMITH DMD (NPI 1558743328) is an individual orthodontics and dentofacial orthopedics provider in Jacksonville, Florida, licensed in Florida (DN24056) and active in the NPI registry since June 2015. He has opted out of Medicare through November 1, 2026.

NPPES Registry Identity

NPI1558743328
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameMATTHEW SMITHCredential: DMD
Location Address15492 MAX LEGGETT PARKWAY, SUITE 2Jacksonville, FL 32218
Mailing Address15492 Max Leggett Parkway, Suite 2Jacksonville, FL 32218 · (904) 414-4500
Sole ProprietorNo
Enumeration DateJune 29, 2015
Last NPPES UpdateDecember 5, 2022
NPPES CertifiedDecember 1, 2022
✔ NPI 1558743328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License✔ Licensed in FL · DN24056
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DEN.00202550 (CO)
15492 MAX LEGGETT PARKWAY, Jacksonville, FL 32218

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Matthew Smith Dmd 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 November 1, 2022 through November 1, 2026.

Opt-Out Effective DateNovember 1, 2022
Opt-Out In Effect ThroughNovember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Matthew Smith's NPI number?

The NPI number for Matthew Smith is 1558743328. It was assigned to this individual provider in the NPPES registry on June 29, 2015.

Where is Matthew Smith located?

Matthew Smith practices at 15492 Max Leggett Parkway Suite 2, Jacksonville, FL 32218. The listed phone number is (904) 414-4500.

What is Matthew Smith's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

Is Matthew Smith enrolled in Medicare?

No. Matthew Smith has opted out of Medicare through November 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Matthew Smith 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 Matthew Smith 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 Matthew Smith was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.