Individual provider Active NPI

Julie Crawford Jones, DMD

  • Dentist
  • Mt Sterling, KY
National Provider Identifier
1447824958
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10585 Issued in KY
Practice address
105 Brandon Way Ste C
Mt Sterling, KY 40353-8406
Phone
(859) 497-2141
NPI assigned
May 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10585 KY Primary

Addresses

Primary practice location

105 Brandon Way Ste C
Mt Sterling, KY 40353-8406

Mailing address

205 Desha Rd
Lexington, KY 40502-1803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240905000191 KY Order and Referring Only - DentistPractitioner - Dentist 0042750036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10585KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Dental Dre PLLC CurrentSince May 7, 2023 Accepting new patients

Locations

105 Brandon Way
Ste C
Mt Sterling, KY 40353
Phone (859) 497-2141

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": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1447824958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DESHA RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405021803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BRANDON WAY STE C",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403538406",
            "telephone_number": "859-497-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JULIE",
        "middle_name": "CRAWFORD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.