Todd Kevin Jones, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

M456 Issued in SD

Practice address

425 W Main St
Lead, SD 57754-1644

Phone

(605) 584-2983

NPI assigned

Oct 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932280427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W MAIN ST",
            "city": "LEAD",
            "state": "SD",
            "postal_code": "577541644",
            "telephone_number": "605-584-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W MAIN ST",
            "city": "LEAD",
            "state": "SD",
            "postal_code": "577541644",
            "telephone_number": "605-584-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TODD",
        "middle_name": "KEVIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "M456",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Kay Dahl, LPC
• Steven Warren Fox, D.M.D.
• Golden Ridge Assited Living
• Golden Ridge Ventures LLC
• Kristy Nicole Greene, CCC, MS
• Garrett Kohler, LPC
• Kort Herman DMD PC
• P. Rene Larson
• Lead-Deadwood School District
• Timothy Brian Olsen

• General Practice Dentistry in Lead, SD
• Providers in Lead, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.