Active NPI
Charles Paul Jones, D.D.S.
- Dentist
- Anderson, IN
National Provider Identifier
1184677387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12007198A
- Practice address
- 4019 Columbus Ave
Suite D
Anderson, IN 46013-5069 - Phone
- (765) 642-3100
- Fax
- (765) 642-7222
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12007198A | IN | Primary |
Addresses
Primary practice location
4019 Columbus Ave
Suite D
Anderson, IN 46013-5069
Mailing address
4019 Columbus Ave
Suite D
Anderson, IN 46013-5069
Phone (765) 642-3100
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 |
|---|---|---|---|
| 12007198A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184677387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4019 COLUMBUS AVE",
"address_2": "SUITE D",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460135069",
"telephone_number": "765-642-3100",
"fax_number": "765-642-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4019 COLUMBUS AVE",
"address_2": "SUITE D",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460135069",
"telephone_number": "765-642-3100",
"fax_number": "765-642-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CHARLES",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12007198A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.