Active NPI
Douglas Dewayne Jones, DDS
- Internal Medicine Physician
- Smyrna, TN
National Provider Identifier
1720176829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DS000000007657
- Practice address
- 105 Threet Industrial Drive
Suite 100
Smyrna, TN 37167 - Phone
- (615) 355-1033
- Fax
- (615) 355-1081
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DS000000007657 | TN | Primary |
Addresses
Primary practice location
105 Threet Industrial Drive
Suite 100
Smyrna, TN 37167
Mailing address
105 Threet Industrial Drive
Suite 100
Smyrna, TN 37167
Phone (615) 355-1033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS000000007657 | TN | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720176829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 THREET INDUSTRIAL DRIVE",
"address_2": "SUITE 100",
"city": "SMYRNA",
"state": "TN",
"postal_code": "37167",
"telephone_number": "615-355-1033",
"fax_number": "615-355-1081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 THREET INDUSTRIAL DRIVE",
"address_2": "SUITE 100",
"city": "SMYRNA",
"state": "TN",
"postal_code": "37167",
"telephone_number": "615-355-1033",
"fax_number": "615-355-1081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DOUGLAS",
"middle_name": "DEWAYNE",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "DS000000007657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.