Individual provider Active NPI

Roland Manning Jones Jr., DDS

  • General Practice Dentistry
  • Greensboro, NC
National Provider Identifier
1457438582
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5448 Issued in NC
Practice address
2725 Horse Pen Creek Rd
Suite 105
Greensboro, NC 27410-8391
Phone
(336) 855-3060
Fax
(336) 855-1304
NPI assigned
Nov 1, 2006
Last updated
Aug 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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 5448 NC Primary

Addresses

Primary practice location

2725 Horse Pen Creek Rd
Suite 105
Greensboro, NC 27410-8391

Mailing address

2725 Horse Pen Creek Rd
Suite 105
Greensboro, NC 27410-8391
Phone (336) 855-3060

Other identifiers 1

IdentifierTypeStateIssuer
8994737MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20151130001509 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709842339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5448NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Roland M. Jones DDS General Practice PastSince Jan 1, 1990 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1457438582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 HORSE PEN CREEK RD",
            "address_2": "SUITE 105",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108391",
            "telephone_number": "336-855-3060",
            "fax_number": "336-855-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 HORSE PEN CREEK RD",
            "address_2": "SUITE 105",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274108391",
            "telephone_number": "336-855-3060",
            "fax_number": "336-855-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROLAND",
        "middle_name": "MANNING",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8994737",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.