Individual provider Active NPI

Mai Jones, DMD

  • Dentist
  • McMinnville, OR
National Provider Identifier
1609597061
Registry record updated Sep 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D11685 Issued in OR
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

Updated by the provider on Sep 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
D11685ORMDDentist

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.

Verify at the official NPI Registry.