NPIMap

Organization Active NPI

Carl Jones DDS Inc

  • Endodontics
  • Melbourne, FL
National Provider Identifier
1316433840
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
CARL JONES DDS INC
Doing business as
Brevard Endodontics
Practice address
1360 Bedford Dr
Melbourne, FL 32940-1992
Phone
(321) 242-7550
Fax
(321) 242-7110
NPI assigned
Jul 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Phil Graves
Title
Chief Operations Officer
Phone
(321) 622-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1360 Bedford Dr
Melbourne, FL 32940-1992

Mailing address

1360 Bedford Dr
Melbourne, FL 32940-1992
Phone (321) 242-7550

Other names 1

  • Brevard Endodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carl Jones DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1360 Bedford Dr
Melbourne, FL 32940
Phone (321) 242-7550

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1316433840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BEDFORD DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401992",
            "telephone_number": "321-242-7550",
            "fax_number": "321-242-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 BEDFORD DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401992",
            "telephone_number": "321-242-7550",
            "fax_number": "321-242-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL JONES DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "321-622-0440"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.