DR. DANIEL JAMES SMITH (DMD) – Dentist, NPI 1033420971
Dentist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
98 MAXILLOFACIAL SURGERY in TX
Provider Addresses for DR. DANIEL JAMES SMITH (DMD)
2200 BERGQUIST DR
SUITE 1
LACKLAND A F B, TX 782369907
Phone: (210) 292-7749
Fax: (210) 292-7964
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $46.
Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.
Last reported payment date: 2024-01-11 • Largest payer in this snapshot: Dentsply Sirona Inc ($46).
Total Amount
$46
General + Research + Ownership
Payments
2
Total payment records
General Amount
$46
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dentsply Sirona Inc | $46 |
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: 2018-10-08
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 |
|---|---|---|---|---|
| I20181008000849 | I | Maxillofacial Surgery | PA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 78236)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| Maxillofacial Surgery, Oral Surgery | MA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Oral Surgery | OH | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Oral Surgery | CO |
Reviews
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