Individual provider Active NPI

Hollis Lee Jones, D.D.S.

  • General Practice Dentistry
  • Dublin, NC
National Provider Identifier
1578899241
Registry record updated Oct 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8850 Issued in NC
Practice address
73 Dixon Street
Dublin, NC 28332-8903
Phone
(910) 879-1020
Fax
(910) 879-1050
NPI assigned
Oct 30, 2009
Last updated
Oct 30, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8850 NC Primary

Addresses

Primary practice location

73 Dixon Street
Dublin, NC 28332-8903

Mailing address

PO Box 97
Dublin, NC 28332-0097
Phone (910) 879-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150512001233 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4981920493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8850NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tri County Community Health Council Inc PastSince Mar 31, 2024 Accepting new patients
Tri County Community Health Council Inc Past Accepting new patients

Organizations & group practices 2

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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1578899241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "DUBLIN",
            "state": "NC",
            "postal_code": "283320097",
            "telephone_number": "910-879-1020",
            "fax_number": "910-879-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 DIXON STREET",
            "city": "DUBLIN",
            "state": "NC",
            "postal_code": "283328903",
            "telephone_number": "910-879-1020",
            "fax_number": "910-879-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "HOLLIS",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, NC

Sources for this page

Verify at the official NPI Registry.