Active NPI
Dean A Jacobs, CHIROPRACTOR
- Chiropractor
- Iowa City, IA
National Provider Identifier
1245389378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05247
- Practice address
- 2 Amber LN
Iowa City, IA 52240-6702 - Phone
- (319) 337-3856
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | A05247 | IA | Primary |
Addresses
Primary practice location
2 Amber LN
Iowa City, IA 52240-6702
Mailing address
2 Amber LN
Iowa City, IA 52240-6702
Phone (319) 337-3856
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421323693 | Other | FEDERAL TAX ID | |
| 1257147 | Medicaid | IA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A05247 | IA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498003200000",
"number": "1245389378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 AMBER LN",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406702",
"telephone_number": "319-337-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 AMBER LN",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522406702",
"telephone_number": "319-337-3856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACOBS",
"first_name": "DEAN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "CHIROPRACTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-09",
"last_updated": "2017-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A05247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL TAX ID",
"identifier": "421323693",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1257147",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.