Dale Travers Jacobs, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13352 Issued in TX

Practice address

12225 Greenville Ave
Suite 122
Dallas, TX 75243-2081

Phone

(972) 235-7060

Fax

(972) 235-1588

NPI assigned

Sep 5, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508969890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12225 GREENVILLE AVE",
            "address_2": "SUITE 122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432081",
            "telephone_number": "972-235-7060",
            "fax_number": "972-235-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12225 GREENVILLE AVE",
            "address_2": "SUITE 122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752432081",
            "telephone_number": "972-235-7060",
            "fax_number": "972-235-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "DALE",
        "middle_name": "TRAVERS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lipoff Jacobbe, D.O.
• Heidi Jacobe, M.D.
• Russel L. Jacobe, M.D.
• Aaron Benjamin Jacobs, NCC, LPC
• Beth A Jacobs, R. PH.
• Gary H Jacobs, CRNA
• Gary M. Jacobs, LPC
• Jerry S Jacobs, O.D. PC
• Joanne Michelle Jacobs, CPNP
• Joe David Jacobs, D.M.D.,M.S.D.

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry 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.