Paul Clint Jones, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO 774 Issued in WA

Practice address

8305 SE Monterey Ave #101
Portland, OR 97086

Phone

(503) 652-1121

Fax

(503) 652-2193

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

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

Practice roles

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

• Kantan PLLC

  • Foot & Ankle Surgery Podiatrist
  • Spokane Valley, WA
  • NPI 1194778043
  NPD (past) Authorized official
• Foot Clinic of East Texas PC

  • Podiatrist
  • Tyler, TX
  • NPI 1184688566

  Foot & Ankle Surgery

  NPD (past)
• Spencer D Greendyke MD LLC

  • Medical Specialty Clinic/Center
  • Coeur D'Alene, ID
  • NPI 1558468439
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1174519359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE. #101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-652-1121",
            "fax_number": "503-652-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 SE MONTEREY AVE #101",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97086",
            "telephone_number": "503-652-1121",
            "fax_number": "503-652-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PAUL",
        "middle_name": "CLINT",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "P - 183",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO 774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1121722",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique Mignon Jones, M.D.
• Natasha Danika Jones, PHARMD
• Nicole Jordan Jones, QMHA
• Nicole Nanette Jones, PT, DPT
• Nikolas A. Jones, MD
• Penelope Lynne Jones
• Penny Christine Jones, CHIROPRACTOR
• Peter Stanley Jones, M.D.
• Pheba Mariam Jones
• Rachael Kortnie Jones, L.M.T.

• Foot & Ankle Surgery Podiatrist in Portland, OR
• Providers in Portland, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.