Individual provider Active NPI

Juliana La Rota Jones, DMD

  • Dentist
  • Pelham, AL
National Provider Identifier
1528354537
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5851 Issued in AL
Practice address
2490 Pelham Pkwy
Pelham, AL 35124
Phone
(205) 419-7444
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5851 AL Primary

Addresses

Primary practice location

2490 Pelham Pkwy
Pelham, AL 35124

Mailing address

5176 Colonial Park Rd
Birmingham, AL 35242-3264
Phone (205) 821-8851

Other practice location 1

230 E 10th St
Suite 106
Anniston, AL 36207-5784
Phone (256) 741-7340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160121001949 AL Order and Referring Only - Other (Non-Physician) 9032412226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5851ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby Pediatric Dentistry, PC Past Accepting new patients

Organizations & group practices 1

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1528354537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5176 COLONIAL PARK RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352423264",
            "telephone_number": "205-821-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124",
            "telephone_number": "205-419-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 E 10th St",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362075784",
            "country_code": "US",
            "telephone_number": "256-741-7340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JULIANA",
        "middle_name": "LA ROTA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.