Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255913307 Individual Practitioner Male Practitioner

Dr. Jonathan Tyler Smith , MD

General Practice • Fallon, NV

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Smith, MD is a registered healthcare professional specializing in General Practice in Fallon, NV. Practice services are available at 4755 PASTURE RD BLDG 299 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4755 Pasture Rd Bldg 299

Fallon, NV 894965000

Telephone 7754263128
Associated Practice Facility / Clinic
🏢 Nhc Lemoore Facility NPI 1467864009

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Fallon, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Fallon, NV (89 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-11
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License 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

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Maria Miller , DA

Dental Assistant

NPI 1083287494
Dr. John Marinucci , DDS

Dentist - General Practice

NPI 1386615748

Doctor of Dental Surgery

NPI 1477242204

Doctor of Dental Medicine

Elizabeth Bond

Dental Assistant

NPI 1548833973
Dr. Darin Rolfe , MD

Family Medicine

NPI 1710975446

Doctor of Medicine (M.D.)

Christopher Waller , IDC

Physician Assistant

NPI 1871850321

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location August 11, 2025

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

📍
Updated Business Mailing Address August 11, 2025

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

👤
Provider Name / Credentials Updated August 11, 2025

Recorded as JONATHAN SMITH, MD

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

Military Health Care Provider (License #0101283882 in VA)

NPI Profile Active April 27, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2021

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

📍
Updated Business Mailing Address April 27, 2021

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

👤
Provider Name / Credentials Updated April 27, 2021

Recorded as JONATHAN SMITH

🎓
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.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.