Active NPI
Justin C Jones, G.C. AND ROOFING
- Home Modifications Contractor
- Clearwater, FL
National Provider Identifier
1982851515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- RR282811613
- Practice address
- 29750 66TH Way N
Clearwater, FL 33761-1606 - Phone
- (727) 644-0160
- Fax
- (727) 412-8631
- NPI assigned
- Aug 26, 2008
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | RR282811613 | FL | Primary |
Addresses
Primary practice location
29750 66TH Way N
Clearwater, FL 33761-1606
Mailing address
29750 66TH Way N
Clearwater, FL 33761-1606
Phone (727) 644-0160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RR282811613 | FL | MD | Home Modifications Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219708800000",
"number": "1982851515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29750 66TH WAY N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611606",
"telephone_number": "727-644-0160",
"fax_number": "727-412-8631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29750 66TH WAY N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337611606",
"telephone_number": "727-644-0160",
"fax_number": "727-412-8631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JUSTIN",
"middle_name": "C",
"credential": "G.C. AND ROOFING",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-26",
"last_updated": "2008-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "FL",
"license": "RR282811613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.