Active NPI
Baxter William Jones, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Knoxville, TN
National Provider Identifier
1245783307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0000011285
- Practice address
- 111 Fox Rd Ste 201
Knoxville, TN 37922-9000 - Phone
- (865) 381-8867
- NPI assigned
- Jul 25, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 018.001993 | IL | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0000011285 | TN | Primary |
Addresses
Primary practice location
111 Fox Rd Ste 201
Knoxville, TN 37922-9000
Mailing address
111 Fox Rd Ste 201
Knoxville, TN 37922-9000
Phone (865) 381-8867
Other practice location 1
611 W Park St
Urbana, IL 61801-2529
Phone (217) 326-1297
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161013000905 | IL | Order and Referring Only - Oral Surgery | 9436447067 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018.001993 | IL | MD | Oral and Maxillofacial Surgery (Dentist) |
| 0000011285 | TN | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Valley Oral Surgery. PLLC | Oral and Maxillofacial Surgery | 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 and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Maryville, TN
- NPI 1861013195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1245783307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 FOX RD STE 201",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379229000",
"telephone_number": "865-381-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 FOX RD STE 201",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379229000",
"telephone_number": "865-381-8867"
}
],
"practiceLocations": [
{
"address_1": "611 W Park St",
"address_purpose": "LOCATION",
"city": "Urbana",
"state": "IL",
"postal_code": "618012529",
"country_code": "US",
"telephone_number": "217-326-1297",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "BAXTER",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-25",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "018.001993",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TN",
"license": "0000011285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.