Active NPI
Kenneth Thomas Jones III, DDS
- Prosthodontics
- Oklahoma City, OK
National Provider Identifier
1669480786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 4079
- Practice address
- 921 NE 13TH St
VA Medical Center
Oklahoma City, OK 73104-5007 - Phone
- (405) 270-5139
- Fax
- (405) 290-1650
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 17489 | TX | |
| Prosthodontics | 1223P0700X | 4079 | OK | Primary |
Addresses
Primary practice location
921 NE 13TH St
VA Medical Center
Oklahoma City, OK 73104-5007
Mailing address
36302 W Old Highway 270
Shawnee, OK 74804-8824
Phone (405) 973-5844
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 |
|---|---|---|---|
| 17489 | TX | MD | Prosthodontist |
| 4079 | OK | MD | Physical Therapist |
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": "1183852800000",
"number": "1669480786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36302 W OLD HIGHWAY 270",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748048824",
"telephone_number": "405-973-5844",
"fax_number": "405-270-5139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 NE 13TH ST",
"address_2": "VA MEDICAL CENTER",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045007",
"telephone_number": "405-270-5139",
"fax_number": "405-290-1650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KENNETH",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TX",
"license": "17489",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "OK",
"license": "4079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- 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.