Syreeta C Jones DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019025748 Issued in IL

Legal business name

SYREETA C JONES DDS

Practice address

986 E Court St
Kankakee, IL 60901-4168

Phone

(815) 325-2613

NPI assigned

Jun 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Syreeta C Jones, DDS

Title

President

Phone

(815) 325-2613

Specialties & licenses 1

Addresses

Tax ID family

Syreeta C Jones DDS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Syreeta C Jones DDS

  • Dentist
  • Kankakee, IL
  • NPI 1306270046
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Syreeta C Jones DDS

  • Dentist
  • Kankakee, IL
  • NPI 1306270046
  NPPES parent name

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1679913420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014168",
            "telephone_number": "815-325-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 E COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609014168",
            "telephone_number": "815-325-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYREETA C JONES DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SYREETA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-325-2613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019025748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suresh H. Wadhwani, MD, SC
• Matthew Sutherland
• Deborah Ann Sutton, LCSW
• Charles Earl Swanson, DO
• Syreeta C Jones DDS
• Carol Szynal
• Tallgrass Cardiology SC
• Christina R Tapp
• Mary Susan Tate, L.C.S.W.
• Lauren Tatum, MD

• Dentist in Kankakee, IL
• Providers in Kankakee, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.