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DR. JEFFREY ALAN SMITH D.D.S.
NPI 1710058128
Dentist in Rogers, MN

Active since November 10, 2006PECOS Enrolled
21410 136TH AVE NORTH SUITE #109, ROGERS, MN 55374(763) 428-2217(763) 428-8586 Get Directions Write a Review

NPPES record last updated: July 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jeffrey Alan Smith D.d.s. NPPES

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

DR. JEFFREY ALAN SMITH D.D.S. (NPI 1710058128) is an individual dentist in Rogers, Minnesota, licensed in Minnesota (D11340) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710058128
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JEFFREY ALAN SMITHCredential: D.D.S.
Location Address21410 136TH AVE NORTH SUITE #109Rogers, MN 55374
Mailing Address21410 136th Ave North Suite #109Rogers, MN 55374 · (763) 428-2217 · Fax (763) 428-8586
Phone(763) 428-2217
Fax(763) 428-8586
Sole ProprietorNo
Enumeration DateNovember 10, 2006
Last NPPES UpdateJuly 2, 2019
✔ NPI 1710058128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D11340
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.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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. Jeffrey Alan Smith 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55374 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.

Other Providers at the Same Location NPPES 3

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

DR. MATTHEW PATRICK DALE DDS
Dentist (General Practice)
21410 136TH AVE NORTH SUITE #109
ROGERS, MN 55374
Hennepin County (763) 428-2217
ROGERS DENTAL CENTER P.A.
Dentist (General Practice)
21410 136TH AVE NORTH SUITE #109
ROGERS, MN 55374
Hennepin County (763) 428-2217
SHANA ELIZABETH MCVEIGH HEISLER
Dentist
21410 136TH AVE NORTH SUITE #109
ROGERS, MN 55374
Hennepin County (763) 428-2217

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 Jeffrey Smith's NPI number?

The NPI number for Jeffrey Smith is 1710058128. It was assigned to this individual provider in the NPPES registry on November 10, 2006.

Where is Jeffrey Smith located?

Jeffrey Smith practices at 21410 136th Ave North Suite #109, Rogers, MN 55374. The listed phone number is (763) 428-2217.

What is Jeffrey Smith's specialty?

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

Is Jeffrey Smith enrolled in Medicare?

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

What insurance does Jeffrey Smith accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Jeffrey 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 Jeffrey Smith was last updated on July 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.