Individual provider Active NPI

M Caroline Jones, DMD

  • Dentist
  • Providence, RI
National Provider Identifier
1578867636
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26342 Issued in TX
Practice address
362 Ives St
Providence, RI 02906-3996
Phone
(401) 861-4358
Fax
(401) 421-9124
NPI assigned
Jan 4, 2011
Last updated
Apr 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 26342 TX Primary
General Practice Dentistry 1223G0001X DEN03700 RI
General Practice Dentistry 1223G0001X DN9500085 MA
General Practice Dentistry 1223G0001X 13942 CT
General Practice Dentistry 1223G0001X 26342 TX

Addresses

Primary practice location

362 Ives St
Providence, RI 02906-3996

Mailing address

PO Box 4446
Middletown, RI 02842-0446
Phone (512) 820-6146

Other practice location 1

137 Hathaway Rd
New Bedford, MA 02746-1304
Phone (774) 425-0613

Other practice location 2

933 Pleasant St
Fall River, MA 02723-1000
Phone (774) 301-8428

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

LicenseStateTypeSpecialty
DN9500085MAMDGeneral Practice Dentistry
DEN03700RIMDGeneral Practice Dentistry
26342TXMDGeneral Practice Dentistry
13942CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Dental Sleep Center LLC CurrentSince Apr 28, 2024 Accepting new patients
Mahra B. Rubinstein, DDS & Robert J. Ducoff, DMD, Inc. General Practice PastSince Apr 28, 2024 Accepting new patients
Great American Smiles, PC General Practice Past Accepting new patients

Locations

362 Ives St
Providence, RI 02906
Phone (401) 455-1252

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1578867636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4446",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028420446",
            "telephone_number": "512-820-6146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 IVES ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029063996",
            "telephone_number": "401-861-4358",
            "fax_number": "401-421-9124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Hathaway Rd",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027461304",
            "country_code": "US",
            "telephone_number": "774-425-0613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "933 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Fall River",
            "state": "MA",
            "postal_code": "027231000",
            "country_code": "US",
            "telephone_number": "774-301-8428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "M",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "26342",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN03700",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN9500085",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13942",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.