Individual provider Active NPI

Michael T. Jones, DMD

  • Dentist
  • Greensboro, NC
National Provider Identifier
1386801397
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6444 Issued in NC
Practice address
5710 W Gate City Blvd Ste R
Greensboro, NC 27407-7047
Phone
(336) 294-0722
Fax
(336) 294-0735
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6444 NC Primary

Addresses

Primary practice location

5710 W Gate City Blvd Ste R
Greensboro, NC 27407-7047

Mailing address

5613 Duraleigh Rd
Ste 121 & 131
Raleigh, NC 27612-2694
Phone (919) 835-1710

Other practice location 1

5613 Duraleigh Rd
Ste 121 & 131
Raleigh, NC 27612-2694
Phone (919) 835-1710

Other identifiers 1

IdentifierTypeStateIssuer
899006KMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314000905 NC Practitioner - DentistPractitioner - Oral Surgery 9537479340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M. Thomas Jones CurrentSince Oct 13, 2024 Accepting new patients
Michael T Jones DMD PA Dentist CurrentSince Oct 1, 1998 Accepting new patients
M. Thomas Jones CurrentSince Oct 12, 2024 Accepting new patients

Locations

5710 W Gate City Blvd
Ste R
Greensboro, NC 27407
Phone (336) 294-0722

5613 Duraleigh Rd
Ste 131
Raleigh, NC 27612
Phone (919) 835-1998

Organizations & group practices 3

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1386801397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5613 DURALEIGH RD",
            "address_2": "STE 121 & 131",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122694",
            "telephone_number": "919-835-1710",
            "fax_number": "919-719-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 W GATE CITY BLVD STE R",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274077047",
            "telephone_number": "336-294-0722",
            "fax_number": "336-294-0735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5613 Duraleigh Rd",
            "address_2": "Ste 121 & 131",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276122694",
            "country_code": "US",
            "telephone_number": "919-835-1710",
            "fax_number": "919-719-0389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "6444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899006K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.