Active NPI
Jimmy Jones
- Driver
- Southfield, MI
National Provider Identifier
1366707168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- J520414178589
- Practice address
- 17916 Bonstelle Ave
Southfield, MI 48075-3478 - Phone
- (313) 629-6800
- NPI assigned
- Jul 8, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | J520414178589 | MI | Primary |
Addresses
Primary practice location
17916 Bonstelle Ave
Southfield, MI 48075-3478
Mailing address
17916 Bonstelle Ave
Southfield, MI 48075-3478
Phone (313) 629-6800
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
| License | State | Type | Specialty |
|---|---|---|---|
| J520414178589 | MI | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341705600000",
"number": "1366707168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17916 BONSTELLE AVE",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753478",
"telephone_number": "313-629-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17916 BONSTELLE AVE",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753478",
"telephone_number": "313-629-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JIMMY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-08",
"last_updated": "2012-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "MI",
"license": "J520414178589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.