Active NPI
Terrell E Jones, D.M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Cookeville, TN
National Provider Identifier
1497707707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS7545
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3226373 | Medicaid | TN |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| DS7545 | TN | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Cookeville, TN
- NPI 1326449067
-
- Oral and Maxillofacial Surgery (Dentist)
- Cookeville, TN
- NPI 1235213869
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Starkville, MS
- NPI 1184549982
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Starkville, MS
- NPI 1538499041
Oral and Maxillofacial Surgery
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.