Active NPI
Dennis Jones, M.D.
- Pediatrics Physician
- Council Bluffs, IA
National Provider Identifier
1578670105
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Nov 20, 2014.
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20591
- Practice address
- 1326 Skyline Dr
Council Bluffs, IA 51503-6752 - Phone
- (712) 396-4310
- NPI assigned
- Aug 23, 2006
- Last updated
- Jul 2, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12411 | NE | |
| Pediatrics Physician | 208000000X | 20591 | IA | Primary |
Addresses
Primary practice location
1326 Skyline Dr
Council Bluffs, IA 51503-6752
Mailing address
1326 Sklyline Dr
Council Bluffs, IA 51503
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20591 | IA | MD | Pediatrics Physician |
| 12411 | NE | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404259200000",
"number": "1578670105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 SKLYLINE DR",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "51503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1326 SKYLINE DR",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515036752",
"telephone_number": "712-396-4310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2014-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "12411",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "20591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.