Jonathan Jacoby, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2015016758 Issued in MO

Practice address

1411 S Range Line Rd
Joplin, MO 64801-5589

Phone

(417) 553-7377

Fax

(417) 553-7293

NPI assigned

Jun 29, 2015

Last updated

Jun 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emily Katherine Handley, DDS, PC

  dba MyDentist-Joplin

  • General Practice Dentistry
  • Joplin, MO
  • NPI 1306266267
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1023490893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 S RANGE LINE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015589",
            "telephone_number": "417-553-7377",
            "fax_number": "417-553-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 S RANGE LINE RD",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648015589",
            "telephone_number": "417-553-7377",
            "fax_number": "417-553-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "JONATHAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2015016758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jack, CRNA
• Jennifer Jacks, COTA/L
• Gabriel Edward Jacobs
• Marilyn J. Jacobs, RNC, WHNP
• Richard R Jacobs, MD
• Syed Askari Jaffery
• Syed Muhammad Faruleet Aoun Jafri
• Melissa K James, NP
• Mollie Marie James, D.O.
• Mi Jang

• Dentist in Joplin, MO
• Providers in Joplin, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.