Jason Patrick Jones, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

33846 Issued in TX

Practice address

8101 Dorado Dr
Odessa, TX 79765-8533

Phone

(432) 333-6585

NPI assigned

May 2, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 22, 2022 through Jul 22, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Permian Basin Facial and Reconstructive Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Midland, TX
  • NPI 1477245470
  NPD Authorized official
• Permian Basin Oral Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Odessa, TX
  • NPI 1922288539
  NPD (past)

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1346695921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 DORADO DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658533",
            "telephone_number": "432-333-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 DORADO DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658533",
            "telephone_number": "432-333-6585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4610 N Garfield St Ste A6",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797052651",
            "country_code": "US",
            "telephone_number": "432-620-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JASON",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "33846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "33846",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Mark Jolley, PTA
• Amy M Jones
• Biosha Branshaye Jones, MD
• Dixie Lynn Jones, LPC
• Emily A Jones, FNP
• Roberta Beth Jones, MA , LPC, RPT
• Shalon Marie Jordan, M.S. CCC-SLP
• Jose B. Benigno Medical Clinic, P.a.
• Jose B. Benigno Medical Clinic, P.a.
• Jose D Bueno, M.D.,P.a.

• Oral and Maxillofacial Surgery (Dentist) in Odessa, TX
• Providers in Odessa, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.