Benjamin Johnson Jacobs, MD

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

0101270564 Issued in VA

Practice address

1875 Cove Rd
Virginia Beach, VA 23459-8911

Phone

(757) 763-2060

NPI assigned

Apr 8, 2019

Last updated

Sep 30, 2021By the provider in NPPES

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1689137788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TRIDENT WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555599",
            "telephone_number": "619-407-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 COVE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234598911",
            "telephone_number": "757-763-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "BENJAMIN",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "VA",
            "license": "0101270564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomicka Jackson
• Tyhesha Jackson
• Jacob L. Saxton, DDS, PC (Aesthetic Family Dentistry)
• Tammy Jacob-Perez, NP
• Jasmine A Jacob, OTD, OTR/L
• Carly K Jacobs, AUD
• Joanne L Jacobs, CCC SLP
• Jonathan S Jacobs, D.M.D.,M.D.,F.A.C.S.
• Megan Jacobs, BCBA
• Caitlin A Jacobson, PA

• Military Health Care Provider in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Military Health Care Provider in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.