Linda Chan-Jacobs, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

021002512 Issued in IL

Practice address

429 S Lincoln Rd
Escanaba, MI 49829-1210

Phone

(906) 786-7878

NPI assigned

Aug 23, 2013

Last updated

Aug 23, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 5, 2016 through Apr 5, 2028

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Paul J Jacobs DDS PC

  dba RestUp Sleep

  • Dentist
  • Escanaba, MI
  • NPI 1619991213
  NPD (past)
• Escanaba Smile Center PLLC

  • Dental Clinic/Center
  • Escanaba, MI
  • NPI 1447183603
  NPD (past)

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377216000000",
    "number": "1629402839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E WACKER DR",
            "address_2": "APT. # 4112",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015229",
            "telephone_number": "617-909-5227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S LINCOLN RD",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498291210",
            "telephone_number": "906-786-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN-JACOBS",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029499",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020898",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021002512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorothea Margaret Case, CRNA
• Danielle Rae Cass, RN
• Catholic Social Services (Catholic Charities of the Upper Peninsula)
• Catholic Social Services of the Up (Catholic Charities of the Upper Peninsula)
• Catholic Social Services of the Upper Peninsula (Catholic Charities of the Upper Peninsula)
• Catherine Koenig Chevalier
• Choose Joy LLC (Loving Embrace Birthing Doula Collective)
• Choose Joy, LLC (Loving Embrace Birthing Doula Collective)
• Christian Park HCC Acquisition Company, LLC (Christian Park Healthcare Center)
• Christian Park Village Acquisition Company, LLC (Christian Park Village)

• Endodontics in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Endodontics in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.