Timothy Patrick Jones, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

2009018131 Issued in MO

Practice address

107 High Ave E
Oskaloosa, IA 52577-2831

Phone

(641) 673-3008

NPI assigned

May 1, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Practice roles

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.

• Diamond Trail Dental PC

  dba Diamond Trail Dental

  • Dental Clinic/Center
  • Montezuma, IA
  • NPI 1164761698
  NPD (past)
• Town Square Dental Care, PC

  dba Town Square Dental Care

  • Dental Clinic/Center
  • Oskaloosa, IA
  • NPI 1073780417
  NPD (past)

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

{
    "created_epoch": "1272672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1679890578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 HIGH AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772831",
            "telephone_number": "641-673-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HIGH AVE E",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525772831",
            "telephone_number": "641-673-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-01",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2009018131",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Jacobsen, PT
• Sarah Jansen
• Tonya Johannes, ARNP
• Gayle Johnson, ARNP
• Michael Rory Johnston, PA-C
• Joshua Daniel Kamerath, DO
• Carol Kelderman, DPT
• Amelia Keller, PT, DPT
• Cecily Kelso, LMHC
• Jaewon Kim, MS

• Dentist in Oskaloosa, IA
• Providers in Oskaloosa, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.