Individual provider Active NPI

David C Jones, MD

  • Radiation Oncology Physician
  • San Marcos, TX
National Provider Identifier
1659353795
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
H3082 Issued in TX
Practice address
1304 Wonder World Dr
San Marcos, TX 78666-7532
Phone
(512) 396-2500
Fax
(512) 396-7640
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X H3082 TX Primary

Addresses

Primary practice location

1304 Wonder World Dr
San Marcos, TX 78666-7532

Mailing address

PO Box 847506
Dallas, TX 75284-7506
Phone (512) 396-2500

Other identifiers 3

IdentifierTypeStateIssuer
920006017OtherTXRR MEDICARE
088414004MedicaidTX
088414005MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040830000459 TX Practitioner - Radiation Oncology 8729053111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
H0382TXMDAnesthesiology Physician
H3082TXMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Center for Cancer Care Radiation Oncology CurrentSince Jul 1, 2005 Accepting new patients
Uvalde County Hospital Authority PastSince Oct 1, 2011 Accepting new patients

Locations

753 S Washington St
Bldg D
Fredericksburg, TX 78624
Phone (830) 990-4800

1001 Water St
Ste J
Kerrville, TX 78028
Phone (830) 257-3131

1001 Water St
Ste J-100
Kerrville, TX 78028
Phone (830) 257-3131

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1659353795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847506",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847506",
            "telephone_number": "512-396-2500",
            "fax_number": "512-396-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 WONDER WORLD DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667532",
            "telephone_number": "512-396-2500",
            "fax_number": "512-396-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "H3082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "920006017",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088414004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088414005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

Verify at the official NPI Registry.