Eric Amos Jones

Key facts

NPI

1982111951

Entity type

Individual (NPI type 1)

Primary specialty

Non-emergency Medical Transport (VAN) 343900000X

License

N.E.M.T. (TX)

Practice address

303 Pecan St
Bardwell, TX 75101

Phone

(469) 822-1715

NPI assigned

Dec 29, 2017

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 16, 2023.

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1982111951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 530263",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750530263",
            "telephone_number": "469-822-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PECAN ST",
            "city": "BARDWELL",
            "state": "TX",
            "postal_code": "75101",
            "telephone_number": "469-822-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ERIC",
        "middle_name": "AMOS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-29",
        "last_updated": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "N.E.M.T.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}