NPIMap

Organization Active NPI

Jeffery B Jones a Professional Corporation

  • Dentist
  • Woodside, CA
National Provider Identifier
1063554640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36773 Issued in CA
Legal business name
JEFFERY B JONES A PROFESSIONAL CORPORATION
Practice address
2977 Woodside Road
Woodside, CA 94062
Phone
(650) 851-0831
Fax
(650) 851-0871
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeffery B Jones, DDSNPI 1336268671
Title
Owner
Phone
(650) 851-0831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 36773 CA Primary

Addresses

Primary practice location

2977 Woodside Road
Woodside, CA 94062

Mailing address

2977 Woodside Road
Woodside, CA 94062
Phone (650) 851-0831

National Provider Directory

National Provider Directory

Locations

2977 Woodside Rd
Woodside, CA 94062
Phone (650) 851-0831

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063554640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 WOODSIDE ROAD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-851-0831",
            "fax_number": "650-851-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 WOODSIDE ROAD",
            "city": "WOODSIDE",
            "state": "CA",
            "postal_code": "94062",
            "telephone_number": "650-851-0831",
            "fax_number": "650-851-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY B JONES A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-851-0831",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "36773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.