DR. JETHROE JOSEPH SMITH DDS
NPI 1811907280
Dentist - General Practice in Dyer, IN

Q: What is Jethroe Smith's NPI number?

The NPI number for Jethroe Smith is 1811907280. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Q: What is Jethroe 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 Jethroe Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 09, 2006PECOS Enrolled

425 JOLIET ST, SUITE 311, DYER, IN 46311(219) 865-6555(219) 865-8842 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jethroe Joseph Smith Dds NPPES

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

DR. JETHROE JOSEPH SMITH DDS (NPI 1811907280) is an individual general practice provider in Dyer, Indiana, licensed in Indiana (12010325A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811907280

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JETHROE JOSEPH SMITHCredential: DDS

Location Address425 JOLIET ST, SUITE 311Dyer, IN 46311

Mailing Address425 Joliet St, Suite 311Dyer, IN 46311 · (219) 865-6555 · Fax (219) 865-8842

Phone(219) 865-6555

Fax(219) 865-8842

Sole ProprietorNo

Enumeration DateAugust 9, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811907280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IN · 12010325A

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.

425 JOLIET ST, Dyer, IN 46311

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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. Jethroe Joseph 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 46311 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 9

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

NORTH STAR SERVICES, LLC

Psychologist

425 JOLIET ST, SUITE 309
DYER, IN 46311

Lake County (219) 322-9904

FAVOR MEDICAL SUPPLIES & TRANSPORTATION SERVICES INC

Durable Medical Equipment & Medical Supplies

425 JOLIET ST
DYER, IN 46311

Lake County (773) 430-8455

ACCELERATED REHABILITATION CENTERS, LTD

Physical Therapist

425 JOLIET ST, SUITE 320
DYER, IN 46311

Lake County (219) 864-0290

FAVOR HEALTHCARE SERVICES, INC.

Home Health

425 JOLIET ST, SUITE 219
DYER, IN 46311

Lake County (219) 227-8900

INCARE HOME HEALTHCARE, INC.

Home Health

425 JOLIET ST, SUITE 312
DYER, IN 46311

Lake County (800) 896-0442

MR. JEREMY PAUL RAUCH MPT, PT

Physical Therapist

425 JOLIET ST, SUITE 320
DYER, IN 46311

Lake County (219) 864-0290

FORTRESS HEALTHCARE SERVICES INC

In Home Supportive Care

425 JOLIET ST, STE. 321-B
DYER, IN 46311

Lake County (219) 515-2583

AUGUSTINE HOME CARE SERVICES INC

In Home Supportive Care

425 JOLIET ST, 321
DYER, IN 46311

Lake County (219) 515-2527

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 Jethroe Smith's NPI number?

The NPI number for Jethroe Smith is 1811907280. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Jethroe Smith located?

Jethroe Smith practices at 425 Joliet St Suite 311, Dyer, IN 46311. The listed phone number is (219) 865-6555.

What is Jethroe Smith's specialty?

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

Is Jethroe Smith enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jethroe Smith was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.