Active NPI
Steven Gordon Jones, D.D.S.
- Dentist
- Spokane, WA
National Provider Identifier
1992869663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE00010574
- Practice address
- 4610 N Ash St Ste 101
Spokane, WA 99205-1482 - Phone
- (509) 326-2660
- Fax
- (509) 326-2510
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DE00010574 | WA | Primary |
Addresses
Primary practice location
4610 N Ash St Ste 101
Spokane, WA 99205-1482
Mailing address
4610 N Ash St Ste 101
Spokane, WA 99205-1482
Phone (509) 326-2660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5058151 | Medicaid | WA | |
| 5058144 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160212001794 | WA | Order and Referring Only - Dentist | 7719281674 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jones Dentistry P. S. | 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
- Spokane, WA
- NPI 1699915546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454716800000",
"number": "1992869663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 N ASH ST STE 101",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992051482",
"telephone_number": "509-326-2660",
"fax_number": "509-326-2510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 N ASH ST STE 101",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992051482",
"telephone_number": "509-326-2660",
"fax_number": "509-326-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "STEVEN",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2016-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE00010574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5058151",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5058144",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2016; 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.