Active NPI
Haydn George Jones II, D.D.S.
- General Practice Dentistry
- Charlotte, NC
National Provider Identifier
1780609537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6445
- Practice address
- 1816 East Blvd
Charlotte, NC 28203-5826 - Phone
- (704) 333-6714
- Fax
- (704) 334-3644
- NPI assigned
- Jul 13, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6445 | NC | Primary |
Addresses
Primary practice location
1816 East Blvd
Charlotte, NC 28203-5826
Mailing address
1816 East Blvd
Charlotte, NC 28203-5826
Phone (704) 333-6714
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8994708 | Medicaid | NC | |
| 94708 | Other | NC | BCBS OF NC |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1780609537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 EAST BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035826",
"telephone_number": "704-333-6714",
"fax_number": "704-334-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 EAST BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035826",
"telephone_number": "704-333-6714",
"fax_number": "704-334-3644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "HAYDN",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "6445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8994708",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "94708",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.