Individual provider Active NPI

Andre Thomas Jones, DDS

  • General Practice Dentistry
  • San Antonio, TX
National Provider Identifier
1043851405
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35625 Issued in TX
Practice address
1901 Babcock Rd Ste 201
San Antonio, TX 78229-4546
Phone
(210) 734-5092
Fax
(210) 898-8435
NPI assigned
Oct 7, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35625 TX Primary

Addresses

Primary practice location

1901 Babcock Rd Ste 201
San Antonio, TX 78229-4546

Mailing address

12918 Green Cedar
Helotes, TX 78023-4173
Phone (210) 705-4030

Other practice location 1

8210 Floyd Curl Dr
San Antonio, TX 78229-3923
Phone (210) 450-3700

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121000397 TX Practitioner - Dentist 9335553080 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dental Arts, LLC General Practice CurrentSince Jun 9, 2024 Accepting new patients

Locations

1901 Babcock Rd
Ste 201
San Antonio, TX 78229
Phone (210) 734-5092

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": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1043851405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12918 GREEN CEDAR",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234173",
            "telephone_number": "210-705-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BABCOCK RD STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294546",
            "telephone_number": "210-734-5092",
            "fax_number": "210-898-8435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8210 Floyd Curl Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293923",
            "country_code": "US",
            "telephone_number": "210-450-3700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANDRE",
        "middle_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.