Travis R Jones, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010360 Issued in IN

Practice address

114 Executive Dr
Suite B
Lafayette, IN 47905-4883

Phone

(765) 447-2725

Fax

(765) 448-3966

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• KY PPO C-SNP
• IL HMO C-SNP
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013098003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 S 900 E",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479059472",
            "telephone_number": "765-296-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 EXECUTIVE DR",
            "address_2": "SUITE B",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054883",
            "telephone_number": "765-447-2725",
            "fax_number": "765-448-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TRAVIS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heath W Jones, D.D.S.
• Madison Jones, RD, LD
• Olivia Jones
• Stephanie A Jones, CST
• Thomas I Jones, MD
• Maritha Ann Jonkman, MD
• John Stephen Jorczak, DDS
• Roosvelt Joseph I
• Deepak Joshi, M.D.
• Melinda Jotojot, PT

• General Practice Dentistry in Lafayette, IN
• Providers in Lafayette, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.