Individual provider Active NPI

Clarence Jones, BC-HIS

  • Hearing Instrument Specialist
  • Jefferson City, MO
National Provider Identifier
1427465210
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
00473 Issued in MO
Practice address
1431 Southwest Blvd Ste 1
Jefferson City, MO 65109-2468
Phone
(573) 635-3557
Fax
(573) 635-6048
NPI assigned
Jul 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 00473 MO Primary

Addresses

Primary practice location

1431 Southwest Blvd Ste 1
Jefferson City, MO 65109-2468

Mailing address

1431 Southwest Blvd Ste 1
Jefferson City, MO 65109-2468
Phone (573) 635-3557

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

LicenseStateTypeSpecialty
00473MOMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Jones Hearing AIDS, Inc. PastSince Jul 27, 2013 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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1427465210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 SOUTHWEST BLVD STE 1",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092468",
            "telephone_number": "573-635-3557",
            "fax_number": "573-635-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 SOUTHWEST BLVD STE 1",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092468",
            "telephone_number": "573-635-3557",
            "fax_number": "573-635-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CLARENCE",
        "name_prefix": "Mr.",
        "credential": "BC-HIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "MO",
            "license": "00473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.