Active NPI
Brandon Howard Jones, DDS
- Dentist
- Fort Sill, OK
National Provider Identifier
1609129162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 6946-15
- Practice address
- 652 Hamilton Road
USA Dental Activity
Fort Sill, OK 73505 - Phone
- (580) 442-3905
- Fax
- (580) 442-4002
- NPI assigned
- Oct 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6946-15 | WI | Primary |
Addresses
Primary practice location
652 Hamilton Road
USA Dental Activity
Fort Sill, OK 73505
Mailing address
652 Hamilton Road
USA Dental Activity
Fort Sill, OK 73505
Phone (580) 442-3905
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6946-15 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1609129162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 HAMILTON ROAD",
"address_2": "USA DENTAL ACTIVITY",
"city": "FORT SILL",
"state": "OK",
"postal_code": "73505",
"telephone_number": "580-442-3905",
"fax_number": "580-442-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 HAMILTON ROAD",
"address_2": "USA DENTAL ACTIVITY",
"city": "FORT SILL",
"state": "OK",
"postal_code": "73505",
"telephone_number": "580-442-3905",
"fax_number": "580-442-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BRANDON",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-22",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "6946-15",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sill, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.