Active NPI
Blake Randall Jones, DMD
- General Practice Dentistry
- Birmingham, AL
National Provider Identifier
1093600512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D.007481-C1
- Practice address
- 5590 Chalkville Rd
Birmingham, AL 35235-8636 - Phone
- (205) 853-3643
- NPI assigned
- Jun 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D.007481-C1 | AL | Primary |
Addresses
Primary practice location
5590 Chalkville Rd
Birmingham, AL 35235-8636
Mailing address
2013 Eastbrook Dr
Trussville, AL 35173-1607
Phone (769) 229-8550
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D.007481-C1 | AL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1093600512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2013 EASTBROOK DR",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351731607",
"telephone_number": "769-229-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5590 CHALKVILLE RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352358636",
"telephone_number": "205-853-3643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BLAKE",
"middle_name": "RANDALL",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-12",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "D.007481-C1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.