Individual provider Active NPI

Christopher Riddell Jones Jr., M.D.

  • Dermatology Physician
  • Cedar Park, TX
National Provider Identifier
1013122753
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N3104 Issued in TX
Practice address
200 N Lakeline Blvd Ste a
Cedar Park, TX 78613-2089
Phone
(512) 617-3000
Fax
(512) 309-7034
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X N3104 TX Primary

Addresses

Primary practice location

200 N Lakeline Blvd Ste a
Cedar Park, TX 78613-2089

Mailing address

200 N Lakeline Blvd Ste a
Cedar Park, TX 78613-2089
Phone (512) 617-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090814000516 TX Practitioner - Dermatology 6204980931

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Westlake Dermatology PA Dermatology PastSince May 1, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cjones@vitalogy.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1013122753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N LAKELINE BLVD STE A",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132089",
            "telephone_number": "512-617-3000",
            "fax_number": "512-309-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LAKELINE BLVD STE A",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132089",
            "telephone_number": "512-617-3000",
            "fax_number": "512-309-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHRISTOPHER",
        "middle_name": "RIDDELL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N3104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.