Amy Graham Jones, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3331-05 Issued in MS

Practice address

7728 Old Canton Rd
Suite a
Madison, MS 39110-6103

Phone

(601) 856-1511

NPI assigned

Jun 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Madison Pediatric Dental Group, PLLC

  • Pediatric Dentistry
  • Madison, MS
  • NPI 1669795241
  NPD (past) Authorized official

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649474875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NAVAJO CIR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563111",
            "telephone_number": "601-925-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7728 OLD CANTON RD",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106103",
            "telephone_number": "601-856-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "AMY",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MS",
            "license": "3331-05",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deven Spell Johnston, PHARM.D.
• Lewis Dubard Johnston, M.D.
• Melanie Jeannine Johnston, COTA/L
• Jones Chiropractic Clinic
• Lyndsey C Jones Sandifer, D.M.D., M.S.D
• Felicia Marie Jones, FNP-C
• Jeffery Patrick Jones, D.C,
• Jennifer S Jones
• Jenny Huang Jones, OD
• Kristen Songstad Jones, DPC, LPC, NCC

• All providers in Madison, MS
• Pediatric Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.