Ronald Earl Jacobs Jr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005768 Issued in MI

Practice address

222 E Harris St
Cadillac, MI 49601-2125

Phone

(231) 779-9044

Fax

(231) 775-9609

NPI assigned

Jan 25, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1104972231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E HARRIS ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012125",
            "telephone_number": "231-779-9044",
            "fax_number": "231-775-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E HARRIS ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012125",
            "telephone_number": "231-779-9044",
            "fax_number": "231-775-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "RONALD",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "950H35005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CHOICES PIN",
            "identifier": "133669",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgane Inger
• Inspire Therapy (Inspire Therapy, LLC)
• Timothy Matthew Iseri, MD
• John F Itnyre, M.D.
• Jacob L Brown DC PC (Active Chiropractic of Cadillac)
• Lisa Waite Jacobson, D.O.
• Sheryl Alice Jenicke, D.D.S.
• Arthur Jeynes, D.P.M.
• Christin F Johnson, NP
• Eric Johnson

• Chiropractor in Cadillac, MI
• Providers in Cadillac, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.