Active NPI
Mai Jones, DMD
- Dentist
- McMinnville, OR
National Provider Identifier
1609597061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D11685
- Practice address
- 2275 NE 27TH St Ste a
McMinnville, OR 97128-2352 - Phone
- (971) 338-4905
- NPI assigned
- Sep 5, 2022
- Sex
- Female
- 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 | D11685 | OR | Primary |
Addresses
Primary practice location
2275 NE 27TH St Ste a
McMinnville, OR 97128-2352
Mailing address
12745 SW 172ND Ter Apt 2-103
Beaverton, OR 97007-2083
Phone (503) 929-7987
Other practice location 1
710 E Foothills Dr Ste 710A
Newberg, OR 97132-6124
Phone (503) 379-0574
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 |
|---|---|---|---|
| D11685 | OR | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1609597061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12745 SW 172ND TER APT 2-103",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970072083",
"telephone_number": "503-929-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 NE 27TH ST STE A",
"city": "MCMINNVILLE",
"state": "OR",
"postal_code": "971282352",
"telephone_number": "971-338-4905"
}
],
"practiceLocations": [
{
"address_1": "710 E Foothills Dr Ste 710A",
"address_purpose": "LOCATION",
"city": "Newberg",
"state": "OR",
"postal_code": "971326124",
"country_code": "US",
"telephone_number": "503-379-0574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "MAI",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-05",
"last_updated": "2022-09-05",
"certification_date": "2022-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "D11685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMinnville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.