NPIMap

Organization Active NPI

Jacqueline Jacobson DMD PC

  • Endodontics
  • Marlborough, MA
National Provider Identifier
1639189640
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
18875 Issued in MA
Legal business name
JACQUELINE JACOBSON DMD PC
Doing business as
Dr Jacqueline Jacobson DMD
Practice address
126 Union St
Marlborough, MA 01752
Phone
(508) 787-0070
Fax
(508) 787-0071
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jacqueline Y Jacobson, DMD
Title
President
Phone
(508) 787-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 18875 MA Primary

Addresses

Primary practice location

126 Union St
Marlborough, MA 01752

Mailing address

PO Box 419
126 Union St
Marlborough, MA 01752-0419
Phone (508) 787-0070

Other names 1

  • Dr Jacqueline Jacobson DMD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639189640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "address_2": "126 UNION ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017520419",
            "telephone_number": "508-787-0070",
            "fax_number": "508-787-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 UNION ST",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "508-787-0070",
            "fax_number": "508-787-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE JACOBSON DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-787-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "18875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Jacqueline Jacobson DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marlborough, MA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.