Alexandra Nicole Jones, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

12011062 Issued in IN

Practice address

2128 Mounds Rd
Anderson, IN 46016-5713

Phone

(765) 642-0400

Fax

(765) 642-0424

NPI assigned

Oct 9, 2007

Sex

Female

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

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1134317753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 MOUNDS RD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165713",
            "telephone_number": "765-642-0400",
            "fax_number": "765-642-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 MOUNDS RD",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460165713",
            "telephone_number": "765-642-0400",
            "fax_number": "765-642-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ALEXANDRA",
        "middle_name": "NICOLE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "12011062",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greg Johnson, LSW
• Heidi Ann Johnson, MD
• Ryan Johnson
• Tammy Jo Johnson, CADAC II
• Brandon Johnston, CRNA
• Allison Nicole Edwards Jones
• Bruce E Jones, PH.D.
• Charles Paul Jones, D.D.S.
• Henry M Jones, MD
• India Shanice Jones

• Dentist in Anderson, IN
• Providers in Anderson, IN by specialty
• Dentist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.