NPIMap

Organization Active NPI

Clemons & Jones Family Dentistry, P.C.

  • General Practice Dentistry
  • Iowa City, IA
National Provider Identifier
1437247202
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07640 Issued in IA
Legal business name
CLEMONS & JONES FAMILY DENTISTRY, P.C.
Practice address
1041 Arthur St
Iowa City, IA 52240-6604
Phone
(319) 338-9219
Fax
(319) 338-7265
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Dr. Garrik Jones, DDSNPI 1346448586
Title
Owner/Dentist
Phone
(319) 338-9219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 07640 IA Primary

Addresses

Primary practice location

1041 Arthur St
Iowa City, IA 52240-6604

Mailing address

1041 Arthur St
Iowa City, IA 52240-6604
Phone (319) 338-9219

Other identifiers 2

IdentifierTypeStateIssuer
0115162MedicaidIA
07640OtherIADENTAL LISENCE

National Provider Directory

National Provider Directory

Locations

1041 Arthur St
Iowa City, IA 52240
Phone (319) 338-5484

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1437247202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 ARTHUR ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406604",
            "telephone_number": "319-338-9219",
            "fax_number": "319-338-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 ARTHUR ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406604",
            "telephone_number": "319-338-9219",
            "fax_number": "319-338-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMONS & JONES FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GARRIK",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "319-338-9219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "07640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115162",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LISENCE",
            "identifier": "07640",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.