Provider Demographics
NPI:1821079211
Name:JONES, RICHARD JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JAMES
Last Name:JONES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:RICH
Other - Middle Name:JAMES
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:11402 E ASTER DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85259-2519
Mailing Address - Country:US
Mailing Address - Phone:480-614-3580
Mailing Address - Fax:
Practice Address - Street 1:11402 E ASTER DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85259-2519
Practice Address - Country:US
Practice Address - Phone:480-614-3580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3191111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ77558Medicare PIN
AZT41791Medicare UPIN