NPIMap

Organization Active NPI

Carl Jones DDS Inc

  • Endodontics
  • Melbourne, FL
National Provider Identifier
1467044198
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
CARL JONES DDS INC
Doing business as
Brevard Endodontics
Practice address
1601 S Apollo Blvd
Melbourne, FL 32901-4484
Phone
(321) 984-0034
Fax
(321) 984-7844
NPI assigned
Feb 4, 2021
Organization subpart
Yes
Parent organization
CARL JONES DDS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Phil Graves, MBA
Title
Operations/Business Manager
Phone
(321) 622-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1601 S Apollo Blvd
Melbourne, FL 32901-4484

Mailing address

1360 Bedford Dr
Melbourne, FL 32940-1992
Phone (321) 242-7550

Other names 1

  • Brevard Endodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Carl Jones DDS Inc2 organizations share this tax ID, including this one
Part of
Carl Jones DDS Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1467044198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BEDFORD DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401992",
            "telephone_number": "321-242-7550",
            "fax_number": "321-242-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S APOLLO BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014484",
            "telephone_number": "321-984-0034",
            "fax_number": "321-984-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL JONES DDS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARL JONES DDS INC",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "OPERATIONS/BUSINESS MANAGER",
        "authorized_official_telephone_number": "321-622-0440",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.