Active NPI
Gary T Jones, DMD
- Oral and Maxillofacial Pathology Dentistry
- Fayetteville, NC
National Provider Identifier
1861473019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 6685
- Practice address
- 1295 Oliver St
Fayetteville, NC 28304-4450 - Phone
- (910) 483-9216
- NPI assigned
- Nov 7, 2005
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 6685 | NC | Primary |
Addresses
Primary practice location
1295 Oliver St
Fayetteville, NC 28304-4450
Mailing address
1295 Oliver St
Fayetteville, NC 28304-4450
Phone (910) 483-9216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899006J | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170928000991 | NC | Order and Referring Only - Oral Surgery | 9638150394 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6685 | NC | MD | Professional Counselor |
| 5817 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gary T. Jones DMD PA | Past | Accepting new patients | |
| John F Neely DMD PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Pinehurst, NC
- NPI 1356362065
-
- Oral and Maxillofacial Surgery (Dentist)
- Pinehurst, NC
- NPI 1043243124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1861473019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 OLIVER ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044450",
"telephone_number": "910-483-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1295 OLIVER ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283044450",
"telephone_number": "910-483-9216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "GARY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "NC",
"license": "6685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "899006J",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.