David Jones, DDS, MPH

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

DD2346 Issued in NM

Practice address

25 E Alary LN
Corrales, NM 87048-8307

Phone

(505) 899-2604

NPI assigned

Jan 22, 2007

Last updated

Aug 7, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1558415125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E ALARY LN",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488307",
            "telephone_number": "505-899-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E ALARY LN",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870488307",
            "telephone_number": "505-899-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "NM",
            "license": "DD2346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indigo Health M.D.
• Robin Ingram, LPCC
• Erica Jacknin, MA, ATR-BC, LPAT
• Katie Johnson
• Lisa Ann Johnson, FNP
• Susan Margaret Kellie, MD, MPH
• Theresa A. Kestly, PH.D.
• Charmayne Kilcup, PHD
• Kintsugi Behavioral Health LLC
• Dale Robin Klein-Kennedy, LPCC

• Public Health Dentistry in Corrales, NM
• Providers in Corrales, NM by specialty
• Public Health Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.