Organization Active NPI

Jones Family Dental, LLC

Doing business as Jones Family Dental

  • General Practice Dentistry
  • Kendallville, IN
National Provider Identifier
1316709496
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JONES FAMILY DENTAL, LLC
Doing business as
Jones Family Dental
Practice address
225 Fairview Blvd
Kendallville, IN 46755-2988
Phone
(260) 347-2251
Fax
(260) 347-2261
NPI assigned
Jan 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Dr. Leeanne M Woodward, D.D.S.
Title
Owner
Phone
(260) 347-2251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

225 Fairview Blvd
Kendallville, IN 46755-2988

Mailing address

225 Fairview Blvd
Kendallville, IN 46755-2988
Phone (260) 347-2251

Other names 1

  • Jones Family Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1316709496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 FAIRVIEW BLVD",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467552988",
            "telephone_number": "260-347-2251",
            "fax_number": "260-347-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 FAIRVIEW BLVD",
            "city": "KENDALLVILLE",
            "state": "IN",
            "postal_code": "467552988",
            "telephone_number": "260-347-2251",
            "fax_number": "260-347-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "LEEANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-347-2251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jones Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kendallville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.