Jake Roddie Malone, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

35354 Issued in TX

Practice address

4215 85TH St
Lubbock, TX 79423-1931

Phone

(806) 794-1131

NPI assigned

Jul 24, 2019

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Robinson and Malone Dentistry PLLC

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1801556477
  NPD

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1649823006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 85TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231931",
            "telephone_number": "432-413-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 85TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794231931",
            "telephone_number": "806-794-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "JAKE",
        "middle_name": "RODDIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lama S Malki, D.D.S.
• Brian L Mallory, MD
• Mark Mallory
• Melanie Mallory, M.S. CCC-SLP
• Hallie Malone, MD
• Cathy Sue Malouf, MD
• Jeremy Chip Malouf, M.D.
• Mama Bear Fitness and Physical Therapy
• Robert J Mamlok, M.D.
• Viviane Mamlok, M.D.

• Dentist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.