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DR. JOHNNY LEE SMITH D.M.D.
NPI 1629075130
Dentist - General Practice in Peoria, AZ

Active since June 30, 2005PECOS Enrolled
9276 W UNION HILLS DR, STE. A, PEORIA, AZ 85382(623) 972-6137(623) 972-6334 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2019, Oct 29, 2019 (2 updates tracked since 2019).

About Dr. Johnny Lee Smith D.m.d. NPPES

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

DR. JOHNNY LEE SMITH D.M.D. (NPI 1629075130) is an individual general practice provider in Peoria, Arizona, licensed in Arizona (4489) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629075130
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JOHNNY LEE SMITHCredential: D.M.D.
Location Address9276 W UNION HILLS DR, STE. APeoria, AZ 85382-8158
Mailing Address9276 W Union Hills Dr, Ste. APeoria, AZ 85382-8158 · (623) 972-6137 · Fax (623) 972-6334
Phone(623) 972-6137
Fax(623) 972-6334
Sole ProprietorYes
Enumeration DateJune 30, 2005
Last NPPES UpdateDecember 12, 20192 updates tracked since enumeration
✔ NPI 1629075130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · 4489
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.
9276 W UNION HILLS DR, Peoria, AZ 85382
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Accepted Insurance

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

Dr. Johnny Lee Smith D.m.d. 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 85382 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 Johnny Smith's NPI number?

The NPI number for Johnny Smith is 1629075130. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Johnny Smith located?

Johnny Smith practices at 9276 W Union Hills Dr Ste. A, Peoria, AZ 85382. The listed phone number is (623) 972-6137.

What is Johnny Smith's specialty?

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

Is Johnny Smith enrolled in Medicare?

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

What insurance does Johnny Smith accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and EMI Health and 6 other insurers list Johnny 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 Johnny Smith was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.