Nicholas Ross Jacobs, DMD, MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

019.037492 Issued in IL

Practice address

1040 W Randolph St
Chicago, IL 60607-2215

Phone

(844) 277-3611

NPI assigned

Aug 6, 2021

Last updated

Sep 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1699449223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 W RANDOLPH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 W RANDOLPH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072215",
            "telephone_number": "844-277-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "NICHOLAS",
        "middle_name": "ROSS",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "IL",
            "license": "019.037492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HopeRX",
            "affiliation": "N",
            "address_1": "5 Becker Farm Rd Ste 101",
            "city": "Roseland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070681727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Leo Samuel Jacobs, PT, DPT
• Maura Jacobs, MD
• Michael A Jacobs, D.D.S.
• Mindy L Jacobs
• Natalie Jacobs, MD
• Norman Michael Jacobs, M.D.
• Rachel H Jacobs, PH.D.
• Rebekka Mae Ashlee Jacobs
• Ryan Charles Jacobs, MD
• Sarah Jacobs, PT, DPT

• Prosthodontics in Chicago, IL
• Providers in Chicago, IL by specialty
• Prosthodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.