Organization Active NPI

Kimber a. Jones, DO, PC

  • Family Medicine Physician
  • Oak Ridge, TN
National Provider Identifier
1114113776
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO1555 Issued in TN
Legal business name
KIMBER A. JONES, DO, PC
Practice address
22 Rockingham LN
Oak Ridge, TN 37830-9033
Phone
(865) 386-4887
NPI assigned
Sep 18, 2007
Last updated
Nov 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Authorized official

Name
Kimber A Jones, D.O.NPI 1952372013
Title
President
Phone
(865) 386-4887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO1555 TN Primary

Addresses

Primary practice location

22 Rockingham LN
Oak Ridge, TN 37830-9033

Mailing address

22 Rockingham LN
Oak Ridge, TN 37830-9033
Phone (865) 386-4887

Other identifiers 1

IdentifierTypeStateIssuer
DO1555OtherTNSTATE OF TN - LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1114113776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ROCKINGHAM LN",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378309033",
            "telephone_number": "865-386-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ROCKINGHAM LN",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378309033",
            "telephone_number": "865-386-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBER A. JONES, DO, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KIMBER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-386-4887",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO1555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TN - LICENSE",
            "identifier": "DO1555",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.