NPIMap

Organization Active NPI

Jacobson Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Diego, CA
National Provider Identifier
1568857464
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JACOBSON DENTAL CORP
Practice address
4440 Wightman St Ste 19
San Diego, CA 92105-2756
Phone
(691) 996-9543
Fax
(844) 534-8464
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Dr. Jeffrey Jacobson, DMD
Title
Owner
Phone
(916) 877-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4440 Wightman St Ste 19
San Diego, CA 92105-2756

Mailing address

1740 Creekside Oaks Dr Ste 130
Sacramento, CA 95833-3655
Phone (916) 877-7450

Other names 2

  • Children's Choice Dental Care Doing business as
  • Jacobson Dental Corp Other name

National Provider Directory

National Provider Directory
Tax ID family
Dr Jeffrey a Saladin Dental Corporation30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

Locations

1740 Creekside Oaks Dr
Ste 130
Sacramento, CA 95833

4440 Wightman St
Ste 19
San Diego, CA 92105

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1568857464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 CREEKSIDE OAKS DR STE 130",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333655",
            "telephone_number": "916-877-7450",
            "fax_number": "844-534-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 WIGHTMAN ST STE 19",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921052756",
            "telephone_number": "691-996-9543",
            "fax_number": "844-534-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBSON DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-877-7450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Choice Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jacobson Dental Corp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.