Caleb David Jacobs

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

05177 Issued in OH

Practice address

4481 Township Road 367
Millersburg, OH 44654-8885

Phone

(330) 893-2999

NPI assigned

Sep 16, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1427770304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4481 TOWNSHIP ROAD 367",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548885",
            "telephone_number": "330-893-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4481 TOWNSHIP ROAD 367",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "446548885",
            "telephone_number": "330-893-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "CALEB",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "05177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ChiroTouch",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4481 Township Road 367",
            "city": "Millersburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446548885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holmes Spine & Sport Chiropractic Clinic Inc.
• Holmes Wayne OBGYN
• Nicole D Horn, DPM
• HPHC Cardiac Rehab
• Integrity With Care Chiropractic
• Dakota James Jacobs, DC
• Mark T Jaroch, M.D.
• Rohini Kalisetti, M.D
• Jaqueline Kaufman, RDN, LD
• Eric L Khobung

• Chiropractor in Millersburg, OH
• Providers in Millersburg, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.