M.a. Russell Jones Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

26187 Issued in CA

Practice address

2594 Shay CT
Fortuna, CA 95540-2852

Phone

(707) 725-5025

Fax

(707) 725-7916

NPI assigned

Oct 21, 2014

Last updated

Oct 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jones and Hindbaugh Partnership

  • General Practice Dentistry
  • Fortuna, CA
  • NPI 1154533966
  NPD (past)

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1073917811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 SHAY CT",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402852",
            "telephone_number": "707-725-5025",
            "fax_number": "707-725-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 SHAY CT",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955402852",
            "telephone_number": "707-725-5025",
            "fax_number": "707-725-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "M.A.",
        "middle_name": "RUSSELL",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "26187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL BOARD",
            "identifier": "26187",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri A Jewett, CMT
• Robert Earl Johnson, RPH
• Jones and Bellah MDS
• Jones and Hindbaugh Partnership
• Clifford Ray Jones, M.D.
• Ronald Bevan Jones, M.D.
• Neil R Kelley, DPM
• Cassandra Ann Kennedy, M.D.
• Michael Grant Kent, M.D.
• James John Killfoil, M.D.

• Dentist in Fortuna, CA
• Providers in Fortuna, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.