Individual provider Active NPI

Michael L. Jones, DDS

  • Dentist
  • Avondale, AZ
National Provider Identifier
1619159829
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4383 Issued in AZ
Practice address
10320 W McDowell Rd
Suite 3010
Avondale, AZ 85392-4863
Phone
(623) 535-4194
Fax
(623) 535-1596
NPI assigned
Nov 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4383 AZ Primary

Addresses

Primary practice location

10320 W McDowell Rd
Suite 3010
Avondale, AZ 85392-4863

Mailing address

10320 W McDowell Rd
Suite 3010
Avondale, AZ 85392-4863
Phone (623) 535-4194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20160216000589 AZ Order and Referring Only - DentistPractitioner - Dentist 6002110897

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4383AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Valley Family Dentistry Inc Current Accepting new patients
1-2-3 Breathe Free LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

10320 W McDowell Rd
Ste 3010
Avondale, AZ 85392
Phone (623) 535-4194

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1619159829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "SUITE 3010",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "623-535-4194",
            "fax_number": "623-535-1596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD",
            "address_2": "SUITE 3010",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924863",
            "telephone_number": "623-535-4194",
            "fax_number": "623-535-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "4383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.