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Dr. Jonathan Tyler Smith , MD

General Practice β€’ Fallon, NV

Active NPI 1255913307 Individual Practitioner Male Practitioner
Practice location in NPPES

4755 Pasture Rd Bldg 299
Fallon, NV 894965000

Call 7754263128 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4755 Pasture Rd Bldg 299

Fallon, NV 894965000

Telephone 7754263128
Organization at the Same NPPES Address or Phone
Nhc Lemoore Facility NPI 1467864009

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fallon and Nevada

3 active clinicians are listed under General Practice with a practice address in Fallon, NV (70 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-11
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0101283882

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

License # reported to NPPES VA 0101283882

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 11, 2025

Registered at 4755 PASTURE RD BLDG 299, FALLON, NV 894965000 (Tel: 7754263128)

πŸ“
Updated Business Mailing Address August 11, 2025

Registered at 4755 PASTURE RD BLDG 299, FALLON, NV 894965000 (Tel: 7754263128)

πŸ‘€
Provider Name / Credentials Updated August 11, 2025

Recorded as JONATHAN SMITH, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2025

Military Health Care Provider (license number reported to NPPES: VA 0101283882)

βœ…
NPI Profile Active April 27, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 27, 2021

Registered at 500 S PRESTON ST RM 305, LOUISVILLE, KY 402021702 (Tel: 5028528696)

πŸ“
Business Mailing Address (Initial Record) April 27, 2021

Registered at 500 S PRESTON ST RM 305, LOUISVILLE, KY 402021702 (Tel: 5028528696)

πŸ‘€
Provider Name / Credentials (Initial Record) April 27, 2021

Recorded as JONATHAN SMITH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration April 27, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255913307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2021
Last Update: August 11, 2025
Sole Proprietor: Yes

Mailing Address

4755 Pasture Rd Bldg 299

Fallon, NV 894965000

Phone: 7754263128

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.