Individual provider Active NPI

Dana N Jacobson, AUD

  • Audiologist
  • Overland Park, KS
National Provider Identifier
1780815803
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
2172 Issued in KS
Practice address
12541 Foster St Ste 220
Overland Park, KS 66213-2301
Phone
(913) 498-2827
Fax
(913) 498-1052
NPI assigned
Aug 6, 2009
Last updated
Oct 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 2172 KS Primary

Addresses

Primary practice location

12541 Foster St Ste 220
Overland Park, KS 66213-2301

Mailing address

PO Box 19087
Lenexa, KS 66285-9087
Phone (913) 262-5855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20091009000425 KS Practitioner - Qualified Audiologist 2466598131 Reassigns benefits to 1 organization
I20230911002262 MO Practitioner - Qualified Audiologist 2466598131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
University of Kansas School of Med (KC/Wich/Sal), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Audiologists IncGroup PAC ID 4183693187, 15 clinicians

Practice addresses (Care Compare)

12541 Foster St
Suite 220
Overland Park, KS 66213-2301
Phone (913) 498-2827

4721 S Cliff Ave
Suite 201
Independence, MO 64055-6969
Phone (816) 642-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2172KSMDOptometrist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1780815803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19087",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662859087",
            "telephone_number": "913-262-5855",
            "fax_number": "913-262-5869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12541 FOSTER ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132301",
            "telephone_number": "913-498-2827",
            "fax_number": "913-498-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "DANA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KS",
            "license": "2172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.