Individual provider Active NPI

Jacob Francis Favino, DDS

  • General Practice Dentistry
  • West Chester, PA
National Provider Identifier
1740162361
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS045355 Issued in PA
Practice address
709 E Gay St Ste 3
West Chester, PA 19380-4567
Phone
(610) 696-9119
NPI assigned
Jul 24, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS045355 PA Primary

Addresses

Primary practice location

709 E Gay St Ste 3
West Chester, PA 19380-4567

Mailing address

709 E Gay St Ste 3
West Chester, PA 19380-4567
Phone (610) 696-9119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS045355PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kim C Sykora DDS General Practice CurrentSince Jul 28, 2025 Accepting new patients

Locations

709 E Gay St
Ste 3
West Chester, PA 19380
Phone (610) 696-9119

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1740162361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 E GAY ST STE 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804567",
            "telephone_number": "610-696-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 E GAY ST STE 3",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804567",
            "telephone_number": "610-696-9119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVINO",
        "first_name": "JACOB",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS045355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.