Individual provider Active NPI

Antonio Jones

  • Massage Therapist
  • Dallas, TX
National Provider Identifier
1003420571
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT137693 Issued in TX
Practice address
2929 Kings Rd Apt 6105
Dallas, TX 75219-6156
Phone
(404) 707-8721
NPI assigned
Sep 2, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MT012150 GA
Massage Therapist 225700000X
Massage Therapist 225700000X MT137693 TX Primary

Addresses

Primary practice location

2929 Kings Rd Apt 6105
Dallas, TX 75219-6156

Mailing address

2929 Kings Rd Apt 6105
Dallas, TX 75219-6156
Phone (404) 707-8721

Other practice location 1

700 Martin Luther King Jr Dr SW Apt 206
Atlanta, GA 30314-4143
Phone (404) 707-8721

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL @jonesantonio27@yahoo.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT012150GAMDContractor
MT137693TXMDMassage Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1003420571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 KINGS RD APT 6105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752196156",
            "telephone_number": "404-707-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 KINGS RD APT 6105",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752196156",
            "telephone_number": "404-707-8721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Martin Luther King Jr Dr SW Apt 206",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303144143",
            "country_code": "US",
            "telephone_number": "404-707-8721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANTONIO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-02",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "MT012150",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT137693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@jonesantonio27@yahoo.com",
            "affiliation": "N",
            "address_1": "700 Martin Luther King Jr Dr SW Apt 206",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303144143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.