Individual provider Active NPI

Terrell E Jones, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Cookeville, TN
National Provider Identifier
1497707707
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS7545 Issued in TN
Practice address
920 South Willow Ave
Cookeville, TN 38501-4150
Phone
(931) 525-6059
Fax
(931) 525-6099
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS7545 TN Primary

Addresses

Primary practice location

920 South Willow Ave
Cookeville, TN 38501-4150

Mailing address

920 South Willow Ave
Cookeville, TN 38501-4150
Phone (931) 525-6059

Other identifiers 1

IdentifierTypeStateIssuer
3226373MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 11, 2016 through Apr 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS7545TNMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Triangle Oral and Facial Surgery & Dental Implant Center Oral and Maxillofacial Surgery Past Accepting new patients
Martin Oral and Maxillofacial Surgery, PA Oral and Maxillofacial Surgery Past Accepting new patients
David M Owsley DMD PLLC Past Accepting new patients
Regional Oral Surgery Center PC Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1497707707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SOUTH WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014150",
            "telephone_number": "931-525-6059",
            "fax_number": "931-525-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 SOUTH WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014150",
            "telephone_number": "931-525-6059",
            "fax_number": "931-525-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TERRELL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS7545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3226373",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.