Individual provider Active NPI

Victoria Jones, DMD

  • Dentist
  • Tallahassee, FL
National Provider Identifier
1992111249
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN20770 Issued in FL
Practice address
1970 Gainsborough Dr
Suite 2
Tallahassee, FL 32311-2717
Phone
(850) 765-3040
Fax
(850) 765-3124
NPI assigned
Jul 8, 2014
Last updated
Jul 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN20770 FL Primary

Addresses

Primary practice location

1970 Gainsborough Dr
Suite 2
Tallahassee, FL 32311-2717

Mailing address

1970 Gainsborough Dr
Suite 2
Tallahassee, FL 32311-2717
Phone (850) 765-3040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150708001761 FL Order and Referring Only - DentistPractitioner - Dentist 7315259132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1992111249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 GAINSBOROUGH DR",
            "address_2": "SUITE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323112717",
            "telephone_number": "850-765-3040",
            "fax_number": "850-765-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 GAINSBOROUGH DR",
            "address_2": "SUITE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323112717",
            "telephone_number": "850-765-3040",
            "fax_number": "850-765-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.