Randall Stephon Jones, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8317 Issued in NC

Practice address

3053B Freedom Dr
Charlotte, NC 28208-3859

Phone

(704) 393-3911

Fax

(704) 393-3911

NPI assigned

Mar 7, 2006

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1245207471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053B FREEDOM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083859",
            "telephone_number": "704-393-3911",
            "fax_number": "704-393-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053B FREEDOM DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282083859",
            "telephone_number": "704-393-3911",
            "fax_number": "704-393-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RANDALL",
        "middle_name": "STEPHON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3574",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905629",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "903AC",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Elizabeth Jones
• Nakisha Jones
• Nishawn Jones
• Olivia Louise Jones
• Perrin Thompson Jones
• Rebecca Caldwell Jones
• Renee S Jones, LPC
• Richard Hughes Jones, M.D.
• Robert Lee Jones Jr., MD
• Rochelle Jones, LCSW

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.