Syreeta C Jones, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019025748 Issued in IL

Practice address

401 N Wall St
Suite 203
Kankakee, IL 60901-2934

Phone

(815) 933-4121

Fax

(815) 933-6744

NPI assigned

Jul 27, 2006

Last updated

Feb 20, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Raffi Leblebijian

  • General Practice Dentistry
  • Bourbonnais, IL
  • NPI 1033085337
  NPD

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1184638249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N WALL ST",
            "address_2": "SUITE 203",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012934",
            "telephone_number": "815-933-4121",
            "fax_number": "815-933-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WALL ST",
            "address_2": "SUITE 203",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012934",
            "telephone_number": "815-933-4121",
            "fax_number": "815-933-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SYREETA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019025748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Jones-Greer, LCPC
• Leslie D Jones-Hunter
• Anna Elizabeth Jones
• Francine Jones
• Kortesha J Jones, PHLEBOTOMIST
• Christina M Jordan, LSW
• Russell O Jordan, D.C.
• Toni Renee Jordan, D.T.
• Joseph B. Pigato, LTD
• Joseph B. Pigato, LTD

• General Practice Dentistry in Kankakee, IL
• Providers in Kankakee, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.