Alan David Jones, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2015010340 Issued in MO

Practice address

408 S Broadview St
Cape Girardeau, MO 63703-5725

Phone

(405) 464-5092

NPI assigned

Mar 7, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: alan.jones@hunter.eclinicaldirectplus.com

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.

• Hunter Health Clinic Inc

  dba Main

  • Federally Qualified Health Center (FQHC)
  • Wichita, KS
  • NPI 1376618348
  Medicare reassignment

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1669746624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "405-464-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S BROADVIEW ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035725",
            "telephone_number": "405-464-5092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2318 E Central Ave",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144436",
            "country_code": "US",
            "telephone_number": "316-262-2415",
            "fax_number": "316-262-0138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 N Grove St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144520",
            "country_code": "US",
            "telephone_number": "316-262-2415",
            "fax_number": "316-264-4734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2750 S Roosevelt St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672101304",
            "country_code": "US",
            "telephone_number": "316-652-0152",
            "fax_number": "316-652-0928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 N Market St",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672143521",
            "country_code": "US",
            "telephone_number": "316-858-1151",
            "fax_number": "316-858-1152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 E 2nd St N",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672022504",
            "country_code": "US",
            "telephone_number": "316-262-2414",
            "fax_number": "316-264-4734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ALAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2015010340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hunterhealth@khindirect.org",
            "affiliation": "N",
            "endpointDescription": "Facility",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2318 E Central Ave",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672144436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paula M Johnston, LPC
• Tricia Renea Johnston, MSN, RN, APRN, FNP-C
• Adrienne Lee Jones-Adamczyk, N.P.
• Katherine Louise Jones-Grady, D.O.
• Aisha Jones
• Chris Jones, D.C.
• Erin Kathleen Jones, PMHNP-BC
• Jackie A. Jones, CCC-SLP
• Jayon Jones
• Jeremy Brandon Jones, ED.S., LPC, NCC

• Dentist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.