Active NPI
David Jones, DMD
- General Practice Dentistry
- Casa Grande, AZ
National Provider Identifier
1942515226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D 8068
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170110001118 | AZ | Order and Referring Only - Other (Non-Physician) | 2668753419 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D 8068 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- Casa Grande, AZ
- NPI 1437392248
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
- Eric Johnson, PT, DPT
- Georgette Annette Johnson, SOCIAL WORKER
- Olusola Omotunde Jolaogun
- Martha Dawn Jones-Baer, RN
- Christine Daniele Jones, COTA
- Ellen Rebecca Jones
- Eustacia Alana Jorvig, FNP-C
- Anna Marie Joyner, RN
- JS Medical Services & Consulting
- Florence Suzanne Kacprzynski, MA,RN,EMDR,CLINICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.