Active NPI
Jeffrey Scott Jones, D.D.S.
- General Practice Dentistry
- Knoxville, TN
National Provider Identifier
1104960236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS3054
- Practice address
- 114 Cedar LN
Knoxville, TN 37912-3505 - Phone
- (865) 687-8423
- Fax
- (865) 687-2085
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | DS3054 | TN | Primary |
Addresses
Primary practice location
114 Cedar LN
Knoxville, TN 37912-3505
Mailing address
114 Cedar LN
Knoxville, TN 37912-3505
Phone (865) 687-8423
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 |
|---|---|---|---|
| DS3054 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104960236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 CEDAR LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379123505",
"telephone_number": "865-687-8423",
"fax_number": "865-687-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 CEDAR LN",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379123505",
"telephone_number": "865-687-8423",
"fax_number": "865-687-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS3054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.