Jacobs Entrepreneurial Group

Primary specialty

DentistTaxonomy code 122300000X

License

DS8742 Issued in TN

Legal business name

JACOBS ENTREPRENEURIAL GROUP

Doing business as

Hixson Dental Center

Practice address

1005 Executive Dr
Suite 105
Hixson, TN 37343-7903

Phone

(423) 877-7886

Fax

(423) 877-1290

NPI assigned

Jan 29, 2009

Organization subpart

No

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

Authorized official

Name

Franci Raines

Title

Practice Manager

Phone

(423) 877-7886

Specialties & licenses 1

Addresses

Other names 1

• Hixson Dental Center Doing business as

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1275771222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437903",
            "telephone_number": "423-877-7886",
            "fax_number": "423-877-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437903",
            "telephone_number": "423-877-7886",
            "fax_number": "423-877-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS ENTREPRENEURIAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "FRANCI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "423-877-7886"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS8742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hixson Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Interventional Healthcare Services
• Interventional Pain Solutions
• Rebecca Lee Iwanczyk, M.A.
• Rebekah Jablonowski, OTR/L
• Vikki Lynn Jacob, R.PH.
• Bradley John Jacobs, DDS MS
• Kristen Walters Jacobs, D.M.D
• Ronald Wesley Jarl, M.D.
• Amy Lynn Jarrell
• Jaw, LLC

• Dentist in Hixson, TN
• Providers in Hixson, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.