Jacob Scott Osborn, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30.027145 Issued in OH

Practice address

120 Walnut Creek Pike
Circleville, OH 43113-1048

Phone

(740) 477-2220

NPI assigned

May 9, 2023

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

State licenses

Practice roles

Locations

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.

• Jacob Osborn DDS LLC

  • General Practice Dentistry
  • Hilliard, OH
  • NPI 1205714763
  NPD Authorized official
• Andrew C Palmer Dentistry, LLC

  • Dentist
  • Circleville, OH
  • NPI 1013495613
  NPD

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1295425700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 ASCHINGER BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432124608",
            "telephone_number": "937-336-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WALNUT CREEK PIKE",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131048",
            "telephone_number": "740-477-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "JACOB",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Elizabeth Olsavsky, M.S., CCC-SLP
• Optum Behavioral Care of Ohio, Inc
• Oral & Maxillofacial Surgery Centers, Inc.
• Carl Orin Jr.
• Orthopaedic & Sports Medicine Center, Inc
• Connor Owen, DDS
• Kathryn Lynn Palermo, NP-C
• Andrew Charles Palmer, DDS
• Arnold Palmer, DO
• Jamie Palmer, LPN

• Dentist in Circleville, OH
• Providers in Circleville, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.