Active NPI
Solomon Jacobs, D.M.D.
- Dentist
- Atlanta, GA
National Provider Identifier
1083062228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN015307
- Practice address
- 5600 Roswell Rd Ste K120
Atlanta, GA 30342-1262 - Phone
- (404) 809-3400
- NPI assigned
- May 27, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN015307 | GA | Primary |
Addresses
Primary practice location
5600 Roswell Rd Ste K120
Atlanta, GA 30342-1262
Mailing address
5600 Roswell Rd Ste K120
Atlanta, GA 30342-1262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN015307 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry of Sandy Springs LLC | Current | Accepting new patients | |
| Covington Dental Care | Past | Accepting new patients | |
| Covington Dental Care | Past | Accepting new patients |
Locations
5600 Roswell Rd
Ste K120
Sandy Springs, GA 30342
Phone (404) 809-3400
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Atlanta, GA
- NPI 1265180236
-
- General Practice Dentistry
- Covington, GA
- NPI 1356834360
-
- Dental Clinic/Center
- Covington, GA
- NPI 1609993955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1083062228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 ROSWELL RD STE K120",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 ROSWELL RD STE K120",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421262",
"telephone_number": "404-809-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "SOLOMON",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-27",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN015307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.