Sharon Anitha Jacob, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN27112 Issued in FL

Practice address

181 Crawford Blvd Ste 112
Boca Raton, FL 33432-3743

Phone

(561) 430-3629

NPI assigned

Jul 25, 2022

Last updated

May 30, 2024By the provider in NPPES

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Genesis Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Boynton Beach, FL
  • NPI 1447578125
  Medicare reassignment NPD
• Genesis Community Health Inc

  • Federally Qualified Health Center (FQHC)
  • Boca Raton, FL
  • NPI 1073982831
  NPD

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1073249983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 E OCEAN AVE STE 409",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355017",
            "telephone_number": "561-735-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 CRAWFORD BLVD STE 112",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334323743",
            "telephone_number": "561-430-3629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 NW 80th Ave",
            "address_purpose": "LOCATION",
            "city": "Margate",
            "state": "FL",
            "postal_code": "330636821",
            "country_code": "US",
            "telephone_number": "786-384-9174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SHARON",
        "middle_name": "ANITHA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadege Jackson, APRN
• Jaclyn Petrassi SLP
• Jaclyn Tureff LCSW LLC
• Marni Jacob, PH.D.
• Nirmala Rose Jacob, M.D.
• Adam Jacobs, DO
• Austin Alexander Jacobs, D.O.
• Dana Leigh Jacobs, MD
• Janice Lyons Jacobs, PH.D.
• Jay Paul Jacobs II, M.D.

• Dentist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.