Individual provider Active NPI

Eryn Daphne Jones

  • Dentist
  • San Diego, CA
National Provider Identifier
1063096907
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107507 Issued in CA
Practice address
9912 Carmel Mountain Rd Ste B
San Diego, CA 92129-2808
Phone
(858) 538-9182
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 107507 CA Primary

Addresses

Primary practice location

9912 Carmel Mountain Rd Ste B
San Diego, CA 92129-2808

Mailing address

2941 Via Viejas Oeste
Alpine, CA 91901-3171
Phone (956) 867-1520

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL erynjones_116@hotmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20221130003200 CA Order and Referring Only - DentistPractitioner - Dentist 6406224195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hoang, Nguyen, & Lu Dental Corp PastSince Mar 30, 2020 Accepting new patients
Penasquitos Dental Past Accepting new patients
Park and Rygg Dental Corporation PastSince Jun 26, 2022 Accepting new patients

Organizations & group practices 3

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1063096907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 VIA VIEJAS OESTE",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919013171",
            "telephone_number": "956-867-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 CARMEL MOUNTAIN RD STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292808",
            "telephone_number": "858-538-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ERYN",
        "middle_name": "DAPHNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "erynjones_116@hotmail.com",
            "affiliation": "N",
            "address_1": "1340 Encinitas Blvd Ste 100",
            "city": "Encinitas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920242844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.