Active NPI
Alexandria Irene Jones, DDS
- General Practice Dentistry
- Big Bend, WI
National Provider Identifier
1043921141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6001090
- Practice address
- W236S7050 Big Bend Dr Ste 7
Big Bend, WI 53103-9497 - Phone
- (262) 662-1111
- Fax
- (262) 955-9511
- NPI assigned
- Dec 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6001090 | WI | Primary |
Addresses
Primary practice location
W236S7050 Big Bend Dr Ste 7
Big Bend, WI 53103-9497
Mailing address
15285 Watertown Plank Rd Ste 200
Elm Grove, WI 53122-2339
Phone (262) 649-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6001090 | WI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahp 004 LLC | General Practice | Current | Accepting new patients |
Locations
W236S7050 Big Bend Dr
Ste 7
Big Bend, WI 53103
Phone (262) 662-1111
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": "1670457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714953600000",
"number": "1043921141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15285 WATERTOWN PLANK RD STE 200",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531222339",
"telephone_number": "262-649-4900",
"fax_number": "262-649-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W236S7050 BIG BEND DR STE 7",
"city": "BIG BEND",
"state": "WI",
"postal_code": "531039497",
"telephone_number": "262-662-1111",
"fax_number": "262-955-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ALEXANDRIA",
"middle_name": "IRENE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-08",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6001090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Big Bend, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.