Brent C Jones

Primary specialty

DentistTaxonomy code 122300000X

License

DE00006476 Issued in WA

Practice address

1336 E Hunter PL
Moses Lake, WA 98837-2449

Phone

(509) 766-7076

NPI assigned

Apr 13, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brent C. Jones, DDS, PLLC

  • Dentist
  • Moses Lake, WA
  • NPI 1568687846
  NPD (past) Authorized official
• Calvin L. Despain, DDS, PLLC

  • General Practice Dentistry
  • Moses Lake, WA
  • NPI 1962007682
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962627240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ASTRO LN NE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988379022",
            "telephone_number": "509-766-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 E HUNTER PL",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988372449",
            "telephone_number": "509-766-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRENT",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Alide Johnson, DO
• Andrew Paullin Johnson, D.M.D.
• Deborah Johnson
• Marilee Sue Johnson, MS
• Michael Johnson, PA
• Gregg Moyle Jones, DC
• Elizabeth Anne Jorgensen, EDD, PHD, LCPC
• Sloan Kenneth Jorgensen, DDS
• Kristi L. Juette, LICSW
• Jennifer Justesen

• All providers in Moses Lake, WA
• Dentist in Washington

• 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.