Pinnacle Pediatric Dentistry, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PINNACLE PEDIATRIC DENTISTRY, PLLC

Practice address

1722 Sharkey Way
Lexington, KY 40511-2028

Phone

(859) 788-7123

Fax

(859) 406-1333

NPI assigned

May 20, 2026

Last updated

May 20, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

PINNACLE PEDIATRIC DENTISTRY, PLLCAs reported in NPPES

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

Authorized official

Name

Eric Jacobson, DMDNPI 1205284098

Title

Owner

Phone

(859) 420-9187

Specialties & licenses 3

Addresses

Tax ID family

Pinnacle Pediatric Dentistry PLLC2 organizations share this tax ID, including this one

Part of

Pinnacle Pediatric Dentistry PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pinnacle Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Berea, KY
  • NPI 1528714615
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pinnacle Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Berea, KY
  • NPI 1528714615
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Stefan Jacobson, D.M.D.

  • Pediatric Dentistry
  • Berea, KY
  • NPI 1205284098
  NPD Authorized official

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1174453278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SHARKEY WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SHARKEY WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405112028",
            "telephone_number": "859-788-7123",
            "fax_number": "859-406-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE PEDIATRIC DENTISTRY, PLLC",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-17",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-420-9187",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle A Pinckney, LPCC, MFTA
• Pine Meadows Health Care, LLC
• Pine Meadowsidence Opco, LLC (Pine Meadows Post Acute)
• Shetundra M Pinkston
• Pinnacle Laboratories, LLC
• Leslie Denise Pinson, APRN
• Gitanjali Lucia Pinto-Sinai, DDS
• James Augustus Piper IV, DMD
• Lauren Pipp
• Asim R Piracha, M.D.

• Pediatric Dentistry in Lexington, KY
• Providers in Lexington, KY by specialty
• Pediatric Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.