Jacobs Enterprises, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9180 Issued in FL

Legal business name

JACOBS ENTERPRISES, LLC

Practice address

215 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4465

Phone

(850) 916-7060

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Jacobs, D.C.NPI 1255444238

Title

President

Phone

(850) 916-7060

Specialties & licenses 1

Addresses

Other names 1

• Jacobs Chiropractic & Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Richard Jacobs, D.C.

  • Chiropractor
  • Gulf Breeze, FL
  • NPI 1255444238
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487727137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1103",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325621103",
            "telephone_number": "850-916-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614465",
            "telephone_number": "850-916-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-916-7060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacobs Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Integrative Chiropractic & Physical Therapy Solutions Inc
• Integrity Hearing Associates LLC
• Catherine Diane Irwin, BCBA
• Marta Jacenyik, MD
• Emily Jackson
• Richard Jacobs, D.C.
• Seyed Mehdi Jafari, MD
• Janice M Hudson MD Family Medicine PLLC
• Tiffany L Jarquin
• Carlos Alberto Jazan, LMHC

• Chiropractor in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Chiropractor in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.