George Paul Jacobs, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-025048L Issued in PA

Practice address

260 Reitz Blvd
Lewisburg, PA 17837-9220

Phone

(570) 523-3368

Fax

(570) 523-9491

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043432792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 REITZ BLVD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379220",
            "telephone_number": "570-523-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 REITZ BLVD",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379220",
            "telephone_number": "570-523-3368",
            "fax_number": "570-523-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "GEORGE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-025048L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Peter Ippolito Sr., D.D.S.
• Abby Melissa Irwin, M.D.
• John F Isaacson
• Darlene Joan Izzo, LMT
• Jabt Therapy, LLC - Dba Jennifer Troxell, LCSW
• Anna M James, M.S CCC/SLP
• Scott Thomas Jefferson
• Eileen Jessica Jerdon, CRNA
• Judi Lynn Jessick, COTA/L
• John F Devine, DO, PC

• General Practice Dentistry in Lewisburg, PA
• Providers in Lewisburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.