Individual provider Active NPI

James Scott Jones, DDS

  • Periodontics
  • Waco, TX
National Provider Identifier
1568516805
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
10713 Issued in TX
Practice address
6400 Cobbs Drive
Suite 600
Waco, TX 76710-2597
Phone
(254) 776-6350
Fax
(254) 776-7331
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 10713 TX Primary

Addresses

Primary practice location

6400 Cobbs Drive
Suite 600
Waco, TX 76710-2597

Mailing address

6400 Cobbs Drive
Suite 600
Waco, TX 76710-2597
Phone (254) 776-6350

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160926000658 TX Order and Referring Only - DentistPractitioner - Dentist 2062709637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10713TXMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568516805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 COBBS DRIVE",
            "address_2": "SUITE 600",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102597",
            "telephone_number": "254-776-6350",
            "fax_number": "254-776-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 COBBS DRIVE",
            "address_2": "SUITE 600",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767102597",
            "telephone_number": "254-776-6350",
            "fax_number": "254-776-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JAMES",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "10713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.