Individual provider Active NPI

Merritt Elmer Jones, DDS

  • General Practice Dentistry
  • Jesup, IA
National Provider Identifier
1699840652
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1A6567 Issued in IA
Practice address
551 Young Street
Jesup, IA 50648
Phone
(319) 827-1401
Fax
(319) 827-1401
NPI assigned
Nov 22, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1A6567 IA Primary

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160408001640 IA Order and Referring Only - DentistPractitioner - Dentist 3577861475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1A6567IAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699840652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "address_2": "551 YOUNG STREET",
            "city": "JESUP",
            "state": "IA",
            "postal_code": "50648",
            "telephone_number": "319-827-1401",
            "fax_number": "319-827-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 YOUNG STREET",
            "city": "JESUP",
            "state": "IA",
            "postal_code": "50648",
            "telephone_number": "319-827-1401",
            "fax_number": "319-827-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MERRITT",
        "middle_name": "ELMER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "1A6567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, IA

Sources for this page

Verify at the official NPI Registry.