Rick L. Jacobi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3642 Issued in AZ

Practice address

31 S 63Rd St
Ste. 5
Mesa, AZ 85206-1606

Phone

(480) 981-0203

NPI assigned

Aug 3, 2006

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Michael S. Crockett, DDS, PC

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1861551210
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174531594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 E VIA DE VENTURA",
            "address_2": "#1030",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583173",
            "telephone_number": "480-296-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S 63RD ST",
            "address_2": "STE. 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061606",
            "telephone_number": "480-981-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBI",
        "first_name": "RICK",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tahara Jackson
• Vannessa Jackson
• Willie Jackson
• Jacob's Hope, Inc.
• Jacob's Hope, Inc.
• Alexander Stephan Jacobs
• Jay H Jacobs, MD
• Matt B Jacobs, PA-C
• Tammy Maria Jacobs, LCSW
• Vanessa Jacobs, RN

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.