Scott Micheal Jacobson, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5278 Issued in MN

Practice address

3595 Ranch Road 620 S Ste 215
Bee Cave, TX 78738-6803

Phone

(512) 333-0055

NPI assigned

Jul 16, 2010

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Robert St Pain Relief Center LLC

  • Specialist
  • West Saint Paul, MN
  • NPI 1487832697
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2021.

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633737600000",
    "number": "1285947465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 RANCH ROAD 620 S STE 215",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386803",
            "telephone_number": "512-333-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 RANCH ROAD 620 S STE 215",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386803",
            "telephone_number": "512-333-0055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1099 Robert St S",
            "address_purpose": "LOCATION",
            "city": "W Saint Paul",
            "state": "MN",
            "postal_code": "551181456",
            "country_code": "US",
            "telephone_number": "651-451-9000",
            "fax_number": "651-451-9001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "SCOTT",
        "middle_name": "MICHEAL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-16",
        "last_updated": "2021-10-09",
        "certification_date": "2021-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bee Cave, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2021; 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.