Jeffrey John Jacobs, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901016450 Issued in MI

Practice address

226 Michigan St
Brooklyn, MI 49230-9103

Phone

(517) 592-2820

Fax

(517) 592-1801

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By 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

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Brooklyn Family Dentistry, P.C.

  • General Practice Dentistry
  • Brooklyn, MI
  • NPI 1003025669
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780893347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MICHIGAN ST",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309103",
            "telephone_number": "517-592-2820",
            "fax_number": "517-592-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MICHIGAN ST",
            "city": "BROOKLYN",
            "state": "MI",
            "postal_code": "492309103",
            "telephone_number": "517-592-2820",
            "fax_number": "517-592-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JEFFREY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901016450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iha Health Services Corporation (Trinity Health IHA Medical Group Primary Care Brooklyn)
• Iha Health Services Corporation (IHA Brooklyn Primary Care)
• Imagine Transporation LLC
• Irwin's Homecare, LLC (Comfort Keepers #998)
• Teylor Isome
• Jordan Jacobs, DDS
• Lori Janiga
• Jen Gallagher Counseling LLC
• Lisa Johnston, RN
• Mariah Kemeter

• General Practice Dentistry in Brooklyn, MI
• Providers in Brooklyn, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.