Active NPI
Mark D Jones, DMD
- Dentist
- Warren, OH
National Provider Identifier
1639187537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30019978
- Practice address
- 8799 E Market St
Warren, OH 44484-2363 - Phone
- (330) 394-7462
- Fax
- (330) 394-3860
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 30019978 | OH | Primary |
Addresses
Primary practice location
8799 E Market St
Warren, OH 44484-2363
Mailing address
8799 E Market St
Warren, OH 44484-2363
Phone (330) 394-7462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2029781 | Medicaid | OH |
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 |
|---|---|---|---|
| 30019978 | OH | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark D Jones DMD Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Warren, OH
- NPI 1477931293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1639187537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8799 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444842363",
"telephone_number": "330-394-7462",
"fax_number": "330-394-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8799 E MARKET ST",
"city": "WARREN",
"state": "OH",
"postal_code": "444842363",
"telephone_number": "330-394-7462",
"fax_number": "330-394-3860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MARK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30019978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2029781",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.