Individual provider Active NPI

Christine Elizabeth Jones, D.D.S.

  • Dentist
  • La Crosse, WI
National Provider Identifier
1235431503
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6568-015 Issued in WI
Practice address
201 7TH St S
La Crosse, WI 54601-4171
Phone
(608) 782-3102
Fax
(608) 782-3120
NPI assigned
Nov 18, 2010
Last updated
Jun 16, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6568-015 WI Primary

Addresses

Primary practice location

201 7TH St S
La Crosse, WI 54601-4171

Mailing address

201 7TH St S
La Crosse, WI 54601-4171
Phone (608) 782-3102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20150608003000 WI Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0840511457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6568-015WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coulee Family Dental LLC Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1235431503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 7TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014171",
            "telephone_number": "608-782-3102",
            "fax_number": "608-782-3120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 7TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014171",
            "telephone_number": "608-782-3102",
            "fax_number": "608-782-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHRISTINE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6568-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

Verify at the official NPI Registry.