Individual provider Active NPI

Eric Wonderly Jones, D.M.D.

  • General Practice Dentistry
  • Flowery Branch, GA
National Provider Identifier
1942436217
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN014285 Issued in GA
Practice address
7338 Spout Springs Rd
Suite C-15
Flowery Branch, GA 30542-5803
Phone
(910) 750-4277
NPI assigned
Jun 1, 2009
Last updated
Aug 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8789 NC
General Practice Dentistry 1223G0001X DN014285 GA Primary

Addresses

Primary practice location

7338 Spout Springs Rd
Suite C-15
Flowery Branch, GA 30542-5803

Mailing address

7338 Spout Springs Rd
Suite C-15
Flowery Branch, GA 30542-5803
Phone (910) 750-4277

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN014285GAMDGeneral Practice Dentistry
8789NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eric W. Jones, DMD, PC General Practice 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1942436217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7338 SPOUT SPRINGS RD",
            "address_2": "SUITE C-15",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425803",
            "telephone_number": "910-750-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7338 SPOUT SPRINGS RD",
            "address_2": "SUITE C-15",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425803",
            "telephone_number": "910-750-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ERIC",
        "middle_name": "WONDERLY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8789",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.