Individual provider Active NPI

David Gale Jones, D.D.S.

  • General Practice Dentistry
  • Muskogee, OK
National Provider Identifier
1073768016
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4034 Issued in OK
Practice address
510 North York Street
Muskogee, OK 74403-4839
Phone
(918) 683-3137
Fax
(918) 683-3139
NPI assigned
Nov 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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 4034 OK Primary

Addresses

Primary practice location

510 North York Street
Muskogee, OK 74403-4839

Mailing address

510 N. York St
Muskogee, OK 74403-4839
Phone (918) 683-3137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20220317002077 OK Practitioner - Dentist 9931409158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4034OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Panhandle Counseling & Health Center, Inc. Current Accepting new patients

Locations

1309 N East St
Guymon, OK 73942
Phone (580) 338-4638

Organizations & group practices 2

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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226966400000",
    "number": "1073768016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N. YORK ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034839",
            "telephone_number": "918-683-3137",
            "fax_number": "918-683-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTH YORK STREET",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034839",
            "telephone_number": "918-683-3137",
            "fax_number": "918-683-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAVID",
        "middle_name": "GALE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "4034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

Verify at the official NPI Registry.