Individual provider Active NPI

Justin A Jones, DMD

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1922488113
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D009253 Issued in AZ
Practice address
1550 E Maryland Ave Ste 2
Phoenix, AZ 85014-1417
Phone
(602) 285-9979
Fax
(602) 265-5883
NPI assigned
Jun 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009253 AZ
General Practice Dentistry 1223G0001X D009253 AZ Primary

Addresses

Primary practice location

1550 E Maryland Ave Ste 2
Phoenix, AZ 85014-1417

Mailing address

1550 E Maryland Ave Ste 2
Phoenix, AZ 85014-1417
Phone (602) 285-9979

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Turtle Dental Management Professional Corporation Dentist CurrentSince May 29, 2022 Accepting new patients
DC Dental, LLC General Practice Past Accepting new patients
Highbury Dental Management, LLC Past Accepting new patients

Locations

1550 E Maryland Ave
Ste 2
Phoenix, AZ 85014
Phone (602) 285-9979

Organizations & group practices 3

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": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1922488113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E MARYLAND AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141417",
            "telephone_number": "602-285-9979",
            "fax_number": "602-265-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E MARYLAND AVE STE 2",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141417",
            "telephone_number": "602-285-9979",
            "fax_number": "602-265-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JUSTIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009253",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D009253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.