Individual provider Active NPI

Anna R. Jones, D.D.S.

  • Dentist
  • St. Joseph, MO
National Provider Identifier
1295022564
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2011014512 Issued in MO
Practice address
2911 South Belt Highway
St. Joseph, MO 64503-1587
Phone
(816) 364-6444
Fax
(816) 364-6929
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2011014512 MO Primary

Addresses

Primary practice location

2911 South Belt Highway
St. Joseph, MO 64503-1587

Mailing address

2911 South Belt Highway
St. Joseph, MO 64503-1587
Phone (816) 364-6444

Other identifiers 1

IdentifierTypeStateIssuer
1295022564MedicaidMO

Other names 1

  • Anna R. Boone Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2011014512MOMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Health Services Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1295022564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 SOUTH BELT HIGHWAY",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "645031587",
            "telephone_number": "816-364-6444",
            "fax_number": "816-364-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 SOUTH BELT HIGHWAY",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "645031587",
            "telephone_number": "816-364-6444",
            "fax_number": "816-364-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANNA",
        "middle_name": "R.",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2011014512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295022564",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "BOONE",
            "middle_name": "R.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St. Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.