Active NPI
Clarence H Jones Jr., D.D.S.
- Dentist
- Reidsville, NC
National Provider Identifier
1811321912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5774
- Practice address
- 299 Fairfield Rd
Reidsville, NC 27320-8293 - Phone
- (336) 342-6171
- NPI assigned
- Aug 26, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5774 | NC | Primary |
Addresses
Primary practice location
299 Fairfield Rd
Reidsville, NC 27320-8293
Mailing address
299 Fairfield Rd
Reidsville, NC 27320-8293
Phone (336) 342-6171
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 |
|---|---|---|---|
| 5774 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1811321912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 FAIRFIELD RD",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273208293",
"telephone_number": "336-342-6171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 FAIRFIELD RD",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273208293",
"telephone_number": "336-342-6171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CLARENCE",
"middle_name": "H",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-26",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "5774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Reidsville, NC
- John & Jennerine Enterprise, Inc. (Life Turn)
- John & Jennerine Enterprise, Inc. (Life Turn Group Home)
- Dawn Tucker Johnson, LCSW
- Jeff Wayne Johnson, DDS
- Shantee Vanessa Johnson
- Erin Ringle Judge, FNP-C
- Lafayette Judkins Sr., D.D.S.
- Julia Brannon PHD & Associates Incorporated
- Cesar Nsumanganyi Kalombo, NP
- Hyndavi Kandala, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.