Individual provider Active NPI

Noland Jones, DPM

  • Primary Podiatric Medicine Podiatrist
  • Phoenix, AZ
National Provider Identifier
1477500387
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0406 Issued in AZ
Practice address
4318 Darrel Road
Phoenix, AZ 85040
Phone
(484) 653-7886
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 0406 AZ Primary

Addresses

Primary practice location

4318 Darrel Road
Phoenix, AZ 85040

Mailing address

4318 Darrel Road
Phoenix, AZ 85040
Phone (484) 653-7886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20040629001235 AZ Practitioner - Podiatry 2961488879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4318 E Darrel Rd
Phoenix, AZ 85042-5227
Phone (602) 437-1539

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue595
Removal or shaving of skin growth297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0406AZMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpmjonesnraz LLC CurrentSince Jan 16, 2006 Accepting new patients
Dpmjonesnraz LLC Primary Podiatric Medicine PastSince Jan 16, 2006 Accepting new patients

Organizations & group practices 2

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1477500387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 DARREL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85040",
            "telephone_number": "484-653-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 DARREL ROAD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85040",
            "telephone_number": "484-653-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NOLAND",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AZ",
            "license": "0406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.