Active NPI
Brooklyn Family Dentistry, P.C.
- General Practice Dentistry
- Brooklyn, MI
National Provider Identifier
1003025669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901016450
- Legal business name
- BROOKLYN FAMILY DENTISTRY, P.C.
- Practice address
- 226 Michigan St
Brooklyn, MI 49230-9103 - Phone
- (517) 592-2820
- Fax
- (517) 592-1801
- NPI assigned
- May 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey John Jacobs, D.D.S.
- Title
- Owner
- Phone
- (517) 592-2820
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901016450 | MI | Primary |
Addresses
Primary practice location
226 Michigan St
Brooklyn, MI 49230-9103
Mailing address
226 Michigan St
Brooklyn, MI 49230-9103
Phone (517) 592-2820
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1003025669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 MICHIGAN ST",
"city": "BROOKLYN",
"state": "MI",
"postal_code": "492309103",
"telephone_number": "517-592-2820",
"fax_number": "517-592-1801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 MICHIGAN ST",
"city": "BROOKLYN",
"state": "MI",
"postal_code": "492309103",
"telephone_number": "517-592-2820",
"fax_number": "517-592-1801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKLYN FAMILY DENTISTRY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JACOBS",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-592-2820",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901016450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.