Seema Z Jacob, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

21754 Issued in MA

Practice address

614 B, Blue Hill Ave
Suite B
Dorchester, MA 02121

Phone

(617) 287-0007

Fax

(617) 287-0009

NPI assigned

Feb 27, 2007

Last updated

Dec 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1770610891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 BLUE HILL AVE STE B",
            "address_2": "SUITE B",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021213258",
            "telephone_number": "617-287-0007",
            "fax_number": "617-287-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 B, BLUE HILL AVE",
            "address_2": "SUITE B",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "02121",
            "telephone_number": "617-287-0007",
            "fax_number": "617-287-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "SEEMA",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "21754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206393",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Elizabeth Isom, M.D.
• Nawar Issac, DDS
• Anicia Monique Ivey, MD
• Lyndon Jackson Jr.
• Nedra Denise Jackson, MSW
• Michelle Jacobs
• Andrea Horvitz Jacobsen, LICSW
• Valarie Jacobson
• Almamy Jalloh, PT
• Barbara Ann James, BSED,BSN,WOCN,RN

• Dentist in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.