Individual provider Active NPI

Michael R. Jones, DDS

  • General Practice Dentistry
  • Russell, KS
National Provider Identifier
1902886302
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6283 Issued in KS
Practice address
300 N Main St
Russell, KS 67665-2731
Phone
(785) 483-2411
Fax
(785) 483-2409
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6283 KS Primary

Addresses

Primary practice location

300 N Main St
Russell, KS 67665-2731

Mailing address

PO Box 407
300 N. Main
Russell, KS 67665-0407
Phone (785) 483-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141219000244 KS Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5395068506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6283KSMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R. Jones, DDS, PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902886302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "address_2": "300 N. MAIN",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676650407",
            "telephone_number": "785-483-2411",
            "fax_number": "785-483-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652731",
            "telephone_number": "785-483-2411",
            "fax_number": "785-483-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "R.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, KS

Sources for this page

Verify at the official NPI Registry.