Organization Active NPI

Jones Kofford & Smith DDS IV PLLC

  • Dental Clinic/Center
  • High Point, NC
National Provider Identifier
1679170419
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JONES KOFFORD & SMITH DDS IV PLLC
Doing business as
Royal Oak Dental Group High Point
Practice address
2420 Penny Rd
High Point, NC 27265-8120
Phone
(336) 882-5498
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Dr. Blake Ryan Jones, DMDNPI 1972814606
Title
Member
Phone
(919) 720-2945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2420 Penny Rd
High Point, NC 27265-8120

Mailing address

1800 N Salem St Ste 101
Apex, NC 27523-8398
Phone (919) 720-2945

Other names 1

  • Royal Oak Dental Group High Point Doing business as

National Provider Directory

National Provider Directory

Locations

1800 N Salem St
Ste 101
Apex, NC 27523

2420 Penny Rd
High Point, NC 27265
Phone (336) 882-5498

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1679170419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 N SALEM ST STE 101",
            "city": "APEX",
            "state": "NC",
            "postal_code": "275238398",
            "telephone_number": "919-720-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 PENNY RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658120",
            "telephone_number": "336-882-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES KOFFORD & SMITH DDS IV PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "919-720-2945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Royal Oak Dental Group High Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.