Merritt Elmer Jones, DDS
Individual provider Active NPI General Practice Dentistry · Jesup, IA
NPI 1699840652 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1699840652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1A6567 (IA)
- Practice address
- 551 Young Street
Jesup, IA 50648 - Phone
- (319) 827-1401
- Fax
- (319) 827-1401
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160408001640 | IA | Order and Referring Only - Dentist |
3577861475 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1A6567 | IA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1A6567 | IA | Yes |
Addresses
Primary practice location
551 Young Street
Jesup, IA 50648
Mailing address
PO Box 563
551 Young Street
Jesup, IA 50648
Phone (319) 827-1401
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1A6567 | Other | IA | 1BDE LICENSE # |
Other providers in Jesup, IA
- Victoria Ann Dietrick
- Family Solutions III, Inc.
- Mark A Feldkamp
- Jesup Community School District
- Brian Robert Jones
- Sara King
- Kristi Kay Meyers
- Zoe Miller
- People'S Memorial Hospital
- Stefani K Pitkin
All providers in Jesup, IA · General Practice Dentistry in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.