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DR. IVAN J SMITH DMD
NPI 1942373584
Dentist - General Practice in Jacksonville, FL

Active since November 15, 2006PECOS Enrolled
1190 EDGEWOOD AVE W, SUITE B, JACKSONVILLE, FL 32208(904) 764-4549(904) 764-2263 Get Directions Write a Review

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

About Dr. Ivan J Smith Dmd NPPES

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

DR. IVAN J SMITH DMD (NPI 1942373584) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (0014805) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942373584
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IVAN J SMITHCredential: DMD
Location Address1190 EDGEWOOD AVE W, SUITE BJacksonville, FL 32208-3419
Mailing Address1190 Edgewood Ave W, Suite BJacksonville, FL 32208-3419 · (904) 764-4549 · Fax (904) 764-2263
Phone(904) 764-4549
Fax(904) 764-2263
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942373584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · 0014805
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.
1190 EDGEWOOD AVE W, Jacksonville, FL 32208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield 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. Ivan J Smith Dmd 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 32208 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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 5

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

DENTAL RX INC.
Pharmacist
1190 EDGEWOOD AVE W, SUITE B.
JACKSONVILLE, FL 32208
Duval County (904) 764-8280
ORRIN D. MITCHELL, D.D.S., P.A.
Clinic/Center (Dental)
1190 EDGEWOOD AVE W, SUITE A
JACKSONVILLE, FL 32208
Duval County (904) 766-6000
DR. ALISIA LG SMITH DMD
Dentist (General Practice)
1190 EDGEWOOD AVE W, SUITE B
JACKSONVILLE, FL 32208
Duval County (904) 764-4549
SMITH AND SMITH DENTAL ASSOCIATES, LLC
Dentist (General Practice)
1190 EDGEWOOD AVE W, SUITE B
JACKSONVILLE, FL 32208
Duval County (904) 764-4549
AMIEE NEWTON DC
Chiropractor
1190 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 721-5464

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 Ivan Smith's NPI number?

The NPI number for Ivan Smith is 1942373584. It was assigned to this individual provider in the NPPES registry on November 15, 2006.

Where is Ivan Smith located?

Ivan Smith practices at 1190 Edgewood Ave W Suite B, Jacksonville, FL 32208. The listed phone number is (904) 764-4549.

What is Ivan Smith's specialty?

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

Is Ivan Smith enrolled in Medicare?

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

What insurance does Ivan Smith accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 13 other insurers list Ivan 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 Ivan 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.