Rick L. Jacobi, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RICK L. JACOBI, DDS, PC

Practice address

1145 N Ellsworth Rd
Ste. 102
Mesa, AZ 85207-5142

Phone

(480) 830-7801

Fax

(480) 984-3609

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Rick L Jacobi, DDS

Title

President

Phone

(480) 830-7801

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Pelletier, DMD

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1881618783
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306906359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 N ELLSWORTH RD",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852075142",
            "telephone_number": "480-830-7801",
            "fax_number": "480-984-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 N ELLSWORTH RD",
            "address_2": "STE. 102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852075142",
            "telephone_number": "480-830-7801",
            "fax_number": "480-984-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK L. JACOBI, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBI",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-830-7801",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Richardson
• Theresia Richardson
• Shilo Richins
• Deborah L Richter
• Madelynn Richtfort
• Mary Ann Ricketts, RN
• Julie Christine Rickman, LMSW
• Amy S Ricks, SLPA
• Andrew Ricks
• Elizabeth Ricks, LAC

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• 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.