DR. JOSIAH MICHAEL SMITH (DDS) – Oral and Maxillofacial Surgery (Dentist), NPI 1700347168
Oral and Maxillofacial Surgery (Dentist)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
74 ORAL SURGERY in OH
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Provider Addresses for DR. JOSIAH MICHAEL SMITH (DDS)
7845 CARNEGIE BLVD
FORT WAYNE, IN 468045792
Phone: (260) 969-4113
Fax: (260) 969-4109
Type: Mailing
Wyoming Street, Walnut Hills, Ohmer Park, Dayton, Montgomery County, Ohio, 45410, United States
DEPT OF MEDICAL EDUCAITON
DAYTON, OH 45409
Phone: (937) 208-2205
Type: Mailing
2122 E Center St
Warsaw, IN 465803704
Phone: (260) 423-2340
Fax: (260) 969-4109
Type: Location
10008 DuPont Circle Ct
Fort Wayne, IN 468251604
Phone: (260) 423-2340
Fax: (260) 969-4109
Type: Location
4606 E State Blvd Ste D
Fort Wayne, IN 468156963
Phone: (260) 423-2340
Fax: (260) 969-4109
Type: Location
1121 W Michigan St
Indianapolis, IN 462025211
Phone: (317) 274-7433
Fax: (317) 274-2603
Type: Location
550 University Blvd Ste 3195
Indianapolis, IN 462025149
Phone: (317) 274-7433
Fax: (317) 274-2603
Type: Location
1600 S ANDREWS AVE
FORT LAUDERDALE, FL 333162510
Phone: (954) 355-4400
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2024-04-09 • Largest payer in this snapshot: ACUMED LLC ($46).
Total Amount
$66
General + Research + Ownership
Payments
3
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ACUMED LLC | $46 |
| Dentsply Sirona Inc | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251106000643 | I | Oral Surgery | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Maxillofacial Surgery, Oral Surgery, Surgical Oncology | IN | |
| - | IN | |
| Oral Surgery, Maxillofacial Surgery | IN | |
| Maxillofacial Surgery, Oral Surgery, Surgical Oncology | IN | |
| - | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Oral Surgery | IN |
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