Individual provider Active NPI

Jerry L Jones, MD

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
National Provider Identifier
1356413561
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4676 Issued in NV
Practice address
653 N Town Center Dr Ste 317
Las Vegas, NV 89144-0504
Phone
(702) 384-5400
Fax
(702) 384-0648
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4676 NV Primary

Addresses

Primary practice location

653 N Town Center Dr Ste 317
Las Vegas, NV 89144-0504

Mailing address

PO Box 370861
Las Vegas, NV 89137-0861
Phone (702) 384-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019001041 NV Practitioner - Obstetrics/Gynecology 5294751137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Jerry L Jones MD Professional CurrentSince Oct 30, 2015 Accepting new patients

Locations

653 N Town Center Dr
Ste 317
Las Vegas, NV 89144
Phone (702) 382-2900

400 Shadow Ln
Ste 103
Las Vegas, NV 89106
Phone (702) 384-5400

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1356413561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370861",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891370861",
            "telephone_number": "702-384-5400",
            "fax_number": "702-384-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 N TOWN CENTER DR STE 317",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891440504",
            "telephone_number": "702-384-5400",
            "fax_number": "702-384-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "4676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.