Robert Rady Jones, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D009523 Issued in AZ

Practice address

1815 S Crismon Rd
Ste 104
Mesa, AZ 85209

Phone

(480) 672-2453

NPI assigned

Jun 29, 2016

Last updated

Feb 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Martin Dental

  dba Martin Dental - Mesa, LLC

  • Dental Clinic/Center
  • Mesa, AZ
  • NPI 1073108890
  NPD

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1457702607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4388 E MESQUITE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852961567",
            "telephone_number": "706-816-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 S CRISMON RD",
            "address_2": "STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85209",
            "telephone_number": "480-672-2453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4203 E Indian School Rd",
            "address_2": "STE #220",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850185359",
            "country_code": "US",
            "telephone_number": "602-955-1780",
            "fax_number": "602-955-1153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROBERT",
        "middle_name": "RADY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-29",
        "last_updated": "2021-02-03",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindley Jones, NP
• Michael Anthony Jones
• Nicole Maria Jones
• Peggy Jean Jones
• Quiana Starlet Jones, COTA/L
• Robin Terry Jones, AU.D.
• Sarah Jones
• Tatum Jones
• Terence Jones, BHT
• Jonik Sober Living LLC

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.