Individual provider Active NPI

Cassandra Lorraine Jones, D.M.D

  • Dentist
  • Wilmington, NC
National Provider Identifier
1942513189
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11765 Issued in NC
Practice address
8115 Market St Ste 204
Wilmington, NC 28411-8430
Phone
(910) 409-6025
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11765 NC Primary

Addresses

Primary practice location

8115 Market St Ste 204
Wilmington, NC 28411-8430

Mailing address

506 Macon CT
Wilmington, NC 28412-2094
Phone (646) 594-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618001576 MA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062723943

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11765NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. C. Jones, PLLC CurrentSince Sep 1, 2022 Accepting new patients
C. Jones DMD PC CurrentSince Apr 7, 2024 Accepting new patients
Raymond J Wise Dentistry PC Past Accepting new patients

Locations

33 Park St
Ste 6
Lee, MA 01238
Phone (413) 243-1222

8115 Market St
Ste 204
Wilmington, NC 28411
Phone (910) 409-6025

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1942513189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 MACON CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122094",
            "telephone_number": "646-594-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 MARKET ST STE 204",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118430",
            "telephone_number": "910-409-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CASSANDRA",
        "middle_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.