NPIMap

Organization Active NPI

Jacobs Family Dentistry, PC

  • Dental Clinic/Center
  • Aberdeen, SD
National Provider Identifier
1205085602
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
M952 Issued in SD
Legal business name
JACOBS FAMILY DENTISTRY, PC
Practice address
701 N 4TH St
Suite 100
Aberdeen, SD 57401-2727
Phone
(605) 725-5565
NPI assigned
Sep 10, 2008
Last updated
Sep 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Authorized official

Name
Dr. Steven JacobsNPI 1841470622
Title
President
Phone
(605) 725-5565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X M952 SD Primary

Addresses

Primary practice location

701 N 4TH St
Suite 100
Aberdeen, SD 57401-2727

Mailing address

701 N 4TH St
Suite 100
Aberdeen, SD 57401-2727

National Provider Directory

National Provider Directory

Locations

701 N 4th St
Ste 100
Aberdeen, SD 57401
Phone (605) 725-5565

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221004800000",
    "number": "1205085602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 4TH ST",
            "address_2": "SUITE 100",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 4TH ST",
            "address_2": "SUITE 100",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574012727",
            "telephone_number": "605-725-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS FAMILY DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-10",
        "last_updated": "2008-09-10",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-725-5565",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "SD",
            "license": "M952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.