Demetra Corrine Jones, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19340 Issued in TX

Practice address

4432 Malcolm X Blvd
Dallas, TX 75215-4349

Phone

(214) 565-4330

Fax

(214) 565-7952

NPI assigned

Sep 21, 2006

Sex

Female

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

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396844221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 SILVERWOOD LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752332614",
            "telephone_number": "214-337-5847",
            "fax_number": "214-565-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 MALCOLM X BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752154349",
            "telephone_number": "214-565-4330",
            "fax_number": "214-565-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DEMETRA",
        "middle_name": "CORRINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009457501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Jones, LPC
• Courtney Jane Jones, CRNA
• Damita Jo Jones, FNP
• Daniel Lawrence Jones, DDS
• Deborah Susan Jones, RN WHC NP
• Devin Elizabeth Jones, MD
• Dianna Rachell Jones, MSW
• Douglas Duane Jones, MD
• Duane Michael Jones, LPC
• Elisha R Jones

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.