Laurie Beth Jacobs, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH15572 Issued in FL

Practice address

8627 Cinnamon Creek Dr BLDG 401
The Omo Group
San Antonio, TX 78240

Phone

(210) 691-5116

Fax

(210) 691-5122

NPI assigned

Jan 8, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487702569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6834 ARIEL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772634",
            "telephone_number": "904-745-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 CINNAMON CREEK DR BLDG 401",
            "address_2": "THE OMO GROUP",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78240",
            "telephone_number": "210-691-5116",
            "fax_number": "210-691-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "LAURIE",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH15572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dann Jacobs, MD
• Jessica Jacobs, L.AC.
• John Jacobs
• Jordan Gallo Jacobs, PA-C
• Justin S Jacobs Jr.
• Margaret A Jacobs, PT
• Meagan Ellesse Jacobs, PHARMD
• Philip M Jacobs, M.D.
• Robert L Jacobs, M.D.
• Sandra Espinosa Jacobs, BCBA

• Dental Hygienist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Dental Hygienist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.