Active NPI
Michael T. Jones, DMD
- Dentist
- Greensboro, NC
National Provider Identifier
1386801397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6444
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899006K | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250314000905 | NC | Practitioner - Dentist | 9537479340 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M. Thomas Jones | Current | Accepting new patients | |
| Michael T Jones DMD PA | Dentist | Current | Accepting new patients |
| M. Thomas Jones | Current | 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.
-
- General Practice Dentistry
- Greensboro, NC
- NPI 1689031783
-
- Dentist
- Raleigh, NC
- NPI 1750425252
-
- General Practice Dentistry
- Greensboro, NC
- NPI 1851846364
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.