Individual provider Active NPI

Leonard Jacobs, D.D.S.

  • Dentist
  • Boca Raton, FL
National Provider Identifier
1043259385
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 13570 Issued in FL
Practice address
7301A W Palmetto Park Rd
Boca Raton, FL 33433-3409
Phone
(561) 362-8308
Fax
(561) 362-7654
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 13570 FL Primary

Addresses

Primary practice location

7301A W Palmetto Park Rd
Boca Raton, FL 33433-3409

Mailing address

7301A W Palmetto Park Rd
Boca Raton, FL 33433-3409
Phone (561) 362-8308

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
I20160323002611 FL Order and Referring Only - DentistPractitioner - Dentist 5799082400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 13570FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043259385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301A W PALMETTO PARK RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333409",
            "telephone_number": "561-362-8308",
            "fax_number": "561-362-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301A W PALMETTO PARK RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333409",
            "telephone_number": "561-362-8308",
            "fax_number": "561-362-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 13570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.