Michael Edwin Jones, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Practice address

1500 Carlemont Dr
Suite #F
Crystal Lake, IL 60014-1833

Phone

(815) 356-3977

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• 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.

• Mej & Associates Enterprises LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Crystal Lake, IL
  • NPI 1013028398
  NPD (past) Authorized official
• Aegis Ambulatory Anesthesia, LTD

  • Anesthesiology Physician
  • Tinley Park, IL
  • NPI 1104198647
  NPD (past)
• Julie Laverdiere Beck DDS, LTD.

  • Oral and Maxillofacial Surgery Clinic/Center
  • Glenview, IL
  • NPI 1730388091
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215955745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 CARLEMONT DR",
            "address_2": "SUITE #F",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141833",
            "telephone_number": "815-356-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CARLEMONT DR",
            "address_2": "SUITE #F",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141833",
            "telephone_number": "815-356-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer J. Johnston, L.C.S.W.
• Donald E Jones, LCSW
• Jessica Jones, LCSW, CADC
• Marina Jones, PHARMD
• Melissa Jones
• Cyndi Luann Joplin, MA, CCC-SLP
• Madalene Jane Jorda, SLP
• Joseph Bozic Therapy, LLC
• Meghan Joshi
• Evan James Joyce, CADC

• Oral and Maxillofacial Surgery (Dentist) in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.