Jacob Inghram

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS-10397 Issued in IA

Practice address

902 S 17TH St
Oskaloosa, IA 52577-3551

Phone

(641) 673-4845

NPI assigned

Dec 16, 2025

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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Main Family Dental Care

  • Dental Clinic/Center
  • Davenport, IA
  • NPI 1982769386
  NPD (past)

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1609730316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 S 17TH ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525773551",
            "telephone_number": "641-673-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 S 17TH ST",
            "city": "OSKALOOSA",
            "state": "IA",
            "postal_code": "525773551",
            "telephone_number": "641-673-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGHRAM",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-16",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-10397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hy-Vee Inc
• Kellie Hynick, COTA/L
• Abu Ibrahim, ATC, LAT
• Imagine the Possibilities, Inc.
• Imagine the Possibilities, Inc.
• Inner Peace Counseling
• Iowa Rural Surgical Associates, P.C.
• Iowa Skin Clinic
• Samantha Rose Jacobs, MS, LAT, ATC
• Courtney Jacobsen, PT

• General Practice Dentistry in Oskaloosa, IA
• Providers in Oskaloosa, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.