Curt a. Jacob D.C., Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301007641 Issued in MI

Legal business name

CURT A. JACOB D.C., INC.

Doing business as

Jacob Chiropractic

Practice address

50954 Romeo Plank Rd
Macomb, MI 48044-1117

Phone

(586) 416-4602

Fax

(586) 416-4645

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Curt A Jacob, D.C.NPI 1750395794

Title

President / Owner

Phone

(586) 416-4602

Specialties & licenses 1

Addresses

Other names 1

• Jacob Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

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.

• Curt Alan Jacob, D.C.

  • Chiropractor
  • Macomb, MI
  • NPI 1750395794
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598870040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50954 ROMEO PLANK RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441117",
            "telephone_number": "586-416-4602",
            "fax_number": "586-416-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50954 ROMEO PLANK RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480441117",
            "telephone_number": "586-416-4602",
            "fax_number": "586-416-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURT A. JACOB D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "CURT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "586-416-4602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacob Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Macomb, MI
• Providers in Macomb, MI by specialty
• Chiropractor in Michigan

• 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.