Individual provider Active NPI

David Jones, DMD

  • General Practice Dentistry
  • Casa Grande, AZ
National Provider Identifier
1942515226
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D 8068 Issued in AZ
Practice address
808 N Mission Pkwy
Casa Grande, AZ 85194-8412
Phone
(520) 426-3639
Fax
(520) 836-7208
NPI assigned
Aug 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D 8068 AZ Primary

Addresses

Primary practice location

808 N Mission Pkwy
Casa Grande, AZ 85194-8412

Mailing address

808 N Mission Pkwy
Casa Grande, AZ 85194-8412
Phone (520) 426-3639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170110001118 AZ Order and Referring Only - Other (Non-Physician) 2668753419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D 8068AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Promenade Smiles, LLP 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1942515226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N MISSION PKWY",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851948412",
            "telephone_number": "520-426-3639",
            "fax_number": "520-836-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 N MISSION PKWY",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851948412",
            "telephone_number": "520-426-3639",
            "fax_number": "520-836-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D 8068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.