Craig Ronald Jonov, DMD, MD

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

9246 Issued in WA

Practice address

509 Olive Way
Ste 1454
Seattle, WA 98101-1749

Phone

(206) 624-0852

Fax

(206) 622-2084

NPI assigned

Jun 14, 2005

Reactivated

Jul 14, 2006

Last updated

Sep 11, 2025By the provider in NPPES

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 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Facial Surgery Center of Seattle

  • Oral and Maxillofacial Surgery (Dentist)
  • Seattle, WA
  • NPI 1235343526
  NPD (past)
• The Gallery of Cosmetic Surgery

  • Specialist
  • Lynnwood, WA
  • NPI 1861606162
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235134511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "STE 1454",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011749",
            "telephone_number": "206-624-0852",
            "fax_number": "206-622-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "STE 1454",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011749",
            "telephone_number": "206-624-0852",
            "fax_number": "206-622-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONOV",
        "first_name": "CRAIG",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2025-09-11",
        "deactivation_date": "2006-03-17",
        "reactivation_date": "2006-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "WA",
            "license": "9246",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "43154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASH DENTAL SERVICE",
            "identifier": "59246",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5041496",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1386802",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7092322",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1605JO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR & INDUSTRIE",
            "identifier": "164759",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zorie Alieta Jones, MD
• Elizabeth S Joneschild, MD
• Elaine C Jong
• Susan Jong, RPH
• Christer Jonmarker
• Katharine Joo
• Meekyung Joo, PHARM.D.
• Joon Care Medical Corporation
• Timothy James Joos, MD
• Bette R. Joram, PH. D.

• Oral and Maxillofacial Pathology Dentistry in Seattle, WA
• Providers in Seattle, WA by specialty
• Oral and Maxillofacial Pathology Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.