Individual provider Active NPI

Kim Richard Jones, M.D., PH.D.

  • Specialist
  • Chapel Hill, NC
National Provider Identifier
1073566352
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32319 Issued in NC
Practice address
55 Vilcom Ctr
Suite 140
Chapel Hill, NC 27514-1689
Phone
(919) 942-7278
Fax
(919) 942-9029
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32319 NC Primary

Addresses

Primary practice location

55 Vilcom Ctr
Suite 140
Chapel Hill, NC 27514-1689

Mailing address

55 Vilcom Ctr
Suite 140
Chapel Hill, NC 27514-1689
Phone (919) 942-7278

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)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32319NCMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1073566352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 VILCOM CTR",
            "address_2": "SUITE 140",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141689",
            "telephone_number": "919-942-7278",
            "fax_number": "919-942-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 VILCOM CTR",
            "address_2": "SUITE 140",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141689",
            "telephone_number": "919-942-7278",
            "fax_number": "919-942-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIM",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "32319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; 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.