NPIMap

Organization Active NPI

Durst & Jones Family Dental, LLP

  • Dentist
  • Augusta, GA
National Provider Identifier
1013163609
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN013339 Issued in GA
Legal business name
DURST & JONES FAMILY DENTAL, LLP
Practice address
2325 Washington Rd
Augusta, GA 30904-3105
Phone
(706) 736-7146
Fax
(706) 736-9938
NPI assigned
Aug 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Dr. Susan K Jones, DMD
Title
Dentist/Owner
Phone
(706) 736-7146

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X DN013339 GA Primary

Addresses

Primary practice location

2325 Washington Rd
Augusta, GA 30904-3105

Mailing address

2325 Washington Rd
Augusta, GA 30904-3105
Phone (706) 736-7146

Other identifiers 1

IdentifierTypeStateIssuer
313255817BMedicaidGA

National Provider Directory

National Provider Directory

Locations

2325 Washington Rd
Augusta, GA 30904
Phone (706) 736-7146

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1013163609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 WASHINGTON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043105",
            "telephone_number": "706-736-7146",
            "fax_number": "706-736-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 WASHINGTON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309043105",
            "telephone_number": "706-736-7146",
            "fax_number": "706-736-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURST & JONES FAMILY DENTAL, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "706-736-7146",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN013339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313255817B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.