NPIMap

Organization Active NPI

Dpmjonesnraz LLC

  • Primary Podiatric Medicine Podiatrist
  • Phoenix, AZ
National Provider Identifier
1932143658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
0406 Issued in AZ
Legal business name
DPMJONESNRAZ LLC
Practice address
4318 E Darrel Rd
Phoenix, AZ 85042-5227
Phone
(484) 653-7886
NPI assigned
Jun 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Noland Jones, DPMNPI 1477500387
Title
Owner
Phone
(484) 653-7886

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
Primary Podiatric Medicine Podiatrist 213EP1101X 0406 AZ Primary

Addresses

Primary practice location

4318 E Darrel Rd
Phoenix, AZ 85042-5227

Mailing address

4318 E Darrel Rd
Phoenix, AZ 85042-5227
Phone (484) 653-7886

Other identifiers 1

IdentifierTypeStateIssuer
160531MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Dpmjonesnraz LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932143658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4318 E DARREL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425227",
            "telephone_number": "484-653-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4318 E DARREL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425227",
            "telephone_number": "484-653-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPMJONESNRAZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "NOLAND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-653-7886",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "AZ",
            "license": "0406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160531",
            "state": "AZ"
        }
    ],
    "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 Aug 22, 2020; 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.