Active NPI
Daniel Ray Jones, D.D.S.
- General Practice Dentistry
- Dacula, GA
National Provider Identifier
1528106945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9684
- Practice address
- 3625 Braselton Hwy
Suite 103
Dacula, GA 30019-1014 - Phone
- (678) 318-3191
- Fax
- (678) 318-3194
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9684 | GA | Primary |
Addresses
Primary practice location
3625 Braselton Hwy
Suite 103
Dacula, GA 30019-1014
Mailing address
3625 Braselton Hwy
Suite 103
Dacula, GA 30019-1014
Phone (678) 318-3191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9684 | GA | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528106945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 BRASELTON HWY",
"address_2": "SUITE 103",
"city": "DACULA",
"state": "GA",
"postal_code": "300191014",
"telephone_number": "678-318-3191",
"fax_number": "678-318-3194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 BRASELTON HWY",
"address_2": "SUITE 103",
"city": "DACULA",
"state": "GA",
"postal_code": "300191014",
"telephone_number": "678-318-3191",
"fax_number": "678-318-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DANIEL",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "9684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.