Ward Scott Jones, DDS

Key facts

NPI

1922166347

Entity type

Individual (NPI type 1)

Primary specialty

Dentist 122300000X

Practice address

235 E Penn Ave
Roseville, IL 61473-0079

Phone

(309) 426-2991

Fax

(309) 426-2991

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922166347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79",
            "city": "ROSEVILLE",
            "state": "IL",
            "postal_code": "614730079",
            "telephone_number": "309-426-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 E PENN AVE",
            "city": "ROSEVILLE",
            "state": "IL",
            "postal_code": "614730079",
            "telephone_number": "309-426-2991",
            "fax_number": "309-426-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "WARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, IL

• Angela Elliott Gibbs, L.C.S.W.
• Goldwater Care Roseville LLC
• Goldwater Care Roseville LLC
• Amy B Huston III
• Jayme Renee Johnson, PTA
• Ronald Leonard
• Osf Healthcare System
• Petersen Health Care Roseville LLC
• Roseville Area Ambulance SVC
• Brittni Zimmerman, M.S., CCC-SLP

All providers in Roseville, IL · Dentist in Illinois