Active NPI
Jansen C. Jones, D.O.
- Occupational Medicine Physician
- Salt Lake City, UT
National Provider Identifier
1669887659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 12406836-1204
- Practice address
- 250 E 200 S RM 1202
Salt Lake City, UT 84111-2472 - Phone
- (801) 581-3841
- NPI assigned
- Jun 27, 2014
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0102204300 | VA | |
| Occupational Medicine Physician | 2083X0100X | 12406836-1204 | UT | Primary |
Addresses
Primary practice location
250 E 200 S RM 1202
Salt Lake City, UT 84111-2472
Mailing address
250 E 200 S RM 1202
Salt Lake City, UT 84111-2472
Phone (801) 581-3841
Other practice location 1
18th Medical Group
Unit 5142
Apo, AP 96367-5142
Phone (575) 572-2446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102204300 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1669887659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E 200 S RM 1202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841112472",
"telephone_number": "801-581-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E 200 S RM 1202",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841112472",
"telephone_number": "801-581-3841"
}
],
"practiceLocations": [
{
"address_1": "18th Medical Group",
"address_2": "Unit 5142",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AP",
"postal_code": "963675142",
"country_code": "US",
"telephone_number": "575-572-2446",
"fax_number": "575-572-2259",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "JONES",
"first_name": "JANSEN",
"middle_name": "C.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-27",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0102204300",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "UT",
"license": "12406836-1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.