NPIMap

Organization Active NPI

Cynthia Jones, D.M.D., P.C.

  • Pediatric Dentistry
  • Suwanee, GA
National Provider Identifier
1790944734
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9560 Issued in GA
Legal business name
CYNTHIA JONES, D.M.D., P.C.
Practice address
3525 Lawrenceville Suwanee Rd
Suite 100
Suwanee, GA 30024-6568
Phone
(770) 614-4678
Fax
(770) 614-4878
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Deide Smith
Title
Receptionist
Phone
(770) 614-4678

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 012241 GA
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN011335 GA
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 9560 GA Primary

Addresses

Primary practice location

3525 Lawrenceville Suwanee Rd
Suite 100
Suwanee, GA 30024-6568

Mailing address

3525 Lawrenceville Suwanee Rd
Suite 100
Suwanee, GA 30024-6568
Phone (770) 614-4678

Other identifiers 3

IdentifierTypeStateIssuer
000661438CMedicaidGA
000900974FMedicaidGA
000273996CMedicaidGA

Other names 1

  • Dentistry 4 Kids Other name

National Provider Directory

National Provider Directory
Tax ID family
Cynthia Jones DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1790944734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246568",
            "telephone_number": "770-614-4678",
            "fax_number": "770-614-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 LAWRENCEVILLE SUWANEE RD",
            "address_2": "SUITE 100",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246568",
            "telephone_number": "770-614-4678",
            "fax_number": "770-614-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA JONES, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEIDE",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "770-614-4678"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "012241",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN011335",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "9560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000661438C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000900974F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000273996C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry 4 Kids",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.