Organization Active NPI

James a. Jacobson DDS, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Watsonville, CA
National Provider Identifier
1295931871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
19634 Issued in CA
Legal business name
JAMES A. JACOBSON DDS, INC.
Practice address
56 Penny LN Ste B
Watsonville, CA 95076-6018
Phone
(831) 722-5022
Fax
(831) 722-5912
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Jacobson, DDS
Title
Orthodontist
Phone
(831) 722-5022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 19634 CA Primary

Addresses

Primary practice location

56 Penny LN Ste B
Watsonville, CA 95076-6018

Mailing address

56 Penny LN Ste B
Watsonville, CA 95076-6018
Phone (831) 722-5022

National Provider Directory

National Provider Directory

Locations

56 Penny Ln
Ste B
Watsonville, CA 95076
Phone (831) 722-5022

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295931871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 PENNY LN STE B",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766018",
            "telephone_number": "831-722-5022",
            "fax_number": "831-722-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 PENNY LN STE B",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766018",
            "telephone_number": "831-722-5022",
            "fax_number": "831-722-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. JACOBSON DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "831-722-5022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "19634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.