Individual provider Active NPI

Bruce G Jones, D.D.S.

  • General Practice Dentistry
  • Muskegon, MI
National Provider Identifier
1427272525
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15043 Issued in MI
Practice address
3587 Henry St
Suite 100
Muskegon, MI 49441-6732
Phone
(231) 780-5158
Fax
(231) 780-5159
NPI assigned
Apr 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15043 MI Primary

Addresses

Primary practice location

3587 Henry St
Suite 100
Muskegon, MI 49441-6732

Mailing address

3587 Henry St
Suite 100
Muskegon, MI 49441-6732
Phone (231) 780-5158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20160427001012 MI Order and Referring Only - DentistPractitioner - Dentist 2264731140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15043MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce G Jones DDS PLLC General Practice Current Accepting new patients

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427272525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 HENRY ST",
            "address_2": "SUITE 100",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494416732",
            "telephone_number": "231-780-5158",
            "fax_number": "231-780-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3587 HENRY ST",
            "address_2": "SUITE 100",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494416732",
            "telephone_number": "231-780-5158",
            "fax_number": "231-780-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRUCE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "15043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.