Gordon K. Jones, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019-019499 Issued in IL

Practice address

1541 N McKinley Rd
Lake Forest, IL 60045-1377

Phone

(847) 502-0197

NPI assigned

Jun 30, 2005

Last updated

Dec 18, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450396800000",
    "number": "1023015401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 N MCKINLEY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451377",
            "telephone_number": "847-502-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 N MCKINLEY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451377",
            "telephone_number": "847-502-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GORDON",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2015-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-019499",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "004212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Jenkins
• Lindsay A Jin, MD
• Lisa S Johnson
• Rebecca Johnson, MS
• George Alexander Jones, M.D.
• Matthew David Jones, MD
• Joseph M. Purpura, M.D.,, P.C.
• Joseph P Imperato, M D, P C
• Nighty Joseph, PTA
• Dhwani M. Joshi, D.M.D.

• General Practice Dentistry in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.