Organization Active NPI

Brittany M Jones DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Ottawa, IL
National Provider Identifier
1851841407
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
135000635 Issued in IL
Legal business name
BRITTANY M JONES DPM LLC
Practice address
1703 Polaris Cir
Suite 4
Ottawa, IL 61350-1683
Phone
(815) 434-1900
Fax
(815) 434-0933
NPI assigned
Oct 6, 2016
Last updated
Oct 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Dr. Brittany M Jones, DMPNPI 1780848911
Title
Owner/Physician
Phone
(815) 434-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 135000635 IL Primary

Addresses

Primary practice location

1703 Polaris Cir
Suite 4
Ottawa, IL 61350-1683

Mailing address

1703 Polaris Cir
Suite 4
Ottawa, IL 61350-1683
Phone (815) 434-1900

Other identifiers 1

IdentifierTypeStateIssuer
016005402MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20161025002902 IL Part B Supplier - Clinic/Group Practice 7012295074 Receives reassigned benefits from 1 practitioner
Practice locations: Ottawa, IL
O20170329001666 IL DME Supplier - Physician - Podiatry 7012295074 Practice locations: Ottawa, IL

National Provider Directory

National Provider Directory

Locations

1050 E Norris Dr
Ste 2D
Ottawa, IL 61350
Phone (815) 431-5757

1703 Polaris Cir
Ste 4
Ottawa, IL 61350
Phone (815) 434-1900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1851841407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 POLARIS CIR",
            "address_2": "SUITE 4",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501683",
            "telephone_number": "815-434-1900",
            "fax_number": "815-434-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 POLARIS CIR",
            "address_2": "SUITE 4",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501683",
            "telephone_number": "815-434-1900",
            "fax_number": "815-434-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRITTANY M JONES DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "815-434-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMP"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "135000635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005402",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.