NPIMap

Organization Active NPI

Bennett Jacoby DDS Ms Inc.

  • Case Management Agency
  • Lihue, HI
National Provider Identifier
1346484094
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
DT2112 Issued in HI
Legal business name
BENNETT JACOBY DDS MS INC.
Practice address
2978 Haleko Rd
Ste a
Lihue, HI 96766-1379
Phone
(808) 960-5991
NPI assigned
Apr 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Dr. Bennett Jacoby, DDSNPI 1235331273
Title
Owner
Phone
(808) 329-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X DT2112 HI Primary

Addresses

Primary practice location

2978 Haleko Rd
Ste a
Lihue, HI 96766-1379

Mailing address

PO Box 75407294
Sioux Falls, SD 57186-2119
Phone (808) 960-5991

National Provider Directory

National Provider Directory

Locations

2978 Haleko Rd
Ste A
Lihue, HI 96766
Phone (808) 202-2060

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1346484094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75407294",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571862119",
            "telephone_number": "808-960-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2978 HALEKO RD",
            "address_2": "STE A",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661379",
            "telephone_number": "808-960-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNETT JACOBY DDS MS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-329-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "HI",
            "license": "DT2112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.