NPIMap

Organization Active NPI

Donald a Jones DDS

Doing business as Back to Basics Dental Center

  • General Practice Dentistry
  • Clarksville, TN
National Provider Identifier
1689789067
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4722 Issued in TN
Legal business name
DONALD A JONES DDS
Doing business as
Back to Basics Dental Center
Practice address
1762 Highway 48
Clarksville, TN 37040
Phone
(931) 645-8000
Fax
(931) 645-8046
NPI assigned
Aug 19, 2006
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Rhonda Jeanene Moon
Title
Insur Coordinator
Phone
(931) 645-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4722 TN Primary

Addresses

Primary practice location

1762 Highway 48
Clarksville, TN 37040

Mailing address

1762 Highway 48
Clarksville, TN 37040
Phone (931) 645-8000

Other identifiers 2

IdentifierTypeStateIssuer
3082656OtherTNBCBS
01385805OtherUNITED CONCORDIA

Other names 1

  • Back to Basics Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

1762 Highway 48
Clarksville, TN 37040
Phone (931) 645-8000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1689789067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 HIGHWAY 48",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-645-8000",
            "fax_number": "931-645-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 HIGHWAY 48",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-645-8000",
            "fax_number": "931-645-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD A JONES DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "JEANENE",
        "authorized_official_title_or_position": "INSUR COORDINATOR",
        "authorized_official_telephone_number": "931-645-8000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3082656",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "01385805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Basics Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.