Active NPI
Ben Jakob, D.C.,P.C
- Chiropractor
- Pikesville, MD
National Provider Identifier
1497837728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 03446
- Practice address
- 4000 Old Court Rd Ste 206
Pikesville, MD 21208-6415 - Phone
- (410) 580-1616
- Fax
- (410) 580-1153
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 03446 | MD | Primary |
Addresses
Primary practice location
4000 Old Court Rd Ste 206
Pikesville, MD 21208-6415
Mailing address
4000 Old Court Rd Ste 206
Pikesville, MD 21208-6415
Phone (410) 580-1616
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409827700 | Medicaid | MD | |
| 64763601 | Other | MD | MD CAREFIRST RENDERING # |
| K951 | Other | DC | CAREFIRST PROVIDER # |
| 354 CB | Other | MD | CAREFIRST MD PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03446 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1497837728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 OLD COURT RD STE 206",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212086415",
"telephone_number": "410-580-1616",
"fax_number": "410-580-1153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 OLD COURT RD STE 206",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212086415",
"telephone_number": "410-580-1616",
"fax_number": "410-580-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAKOB",
"first_name": "BEN",
"name_prefix": "Dr.",
"credential": "D.C.,P.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "03446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409827700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD CAREFIRST RENDERING #",
"identifier": "64763601",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST PROVIDER #",
"identifier": "K951",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD PROVIDER #",
"identifier": "354 CB",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pikesville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.