Active NPI
Charles Douglas Jons, M.D.
- Otolaryngology Physician
- Ames, IA
National Provider Identifier
1770835563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 17389
- Practice address
- 2916 Forest Hills Dr
Ames, IA 50014-3583 - Phone
- (515) 292-9686
- NPI assigned
- Oct 4, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 17389 | IA | Primary |
Addresses
Primary practice location
2916 Forest Hills Dr
Ames, IA 50014-3583
Mailing address
2916 Forest Hills Dr
Ames, IA 50014-3583
Phone (515) 292-9686
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17389 | IA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349308800000",
"number": "1770835563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2916 FOREST HILLS DR",
"city": "AMES",
"state": "IA",
"postal_code": "500143583",
"telephone_number": "515-292-9686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2916 FOREST HILLS DR",
"city": "AMES",
"state": "IA",
"postal_code": "500143583",
"telephone_number": "515-292-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONS",
"first_name": "CHARLES",
"middle_name": "DOUGLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-04",
"last_updated": "2012-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IA",
"license": "17389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.