Linda Jacob DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23089 Issued in TX

Legal business name

LINDA JACOB DDS, PLLC

Practice address

1150 N Watters Rd
Ste 104
Allen, TX 75013-5508

Phone

(972) 908-3773

Fax

(972) 908-3776

NPI assigned

Jun 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Linda Jacob, DDSNPI 1164646832

Title

President/Owner

Phone

(972) 908-3773

Specialties & licenses 1

Addresses

Other names 1

• SUNRISE DENTAL Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Jacob, DDS

  • General Practice Dentistry
  • Allen, TX
  • NPI 1164646832
  NPD (past) Authorized official

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1780970855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N WATTERS RD",
            "address_2": "STE 104",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135508",
            "telephone_number": "972-908-3773",
            "fax_number": "972-908-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N WATTERS RD",
            "address_2": "STE 104",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135508",
            "telephone_number": "972-908-3773",
            "fax_number": "972-908-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA JACOB DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "972-908-3773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNRISE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela B Limoli, OTR
• Stephanie Aletta Lin
• Zhi Lin, DC
• Mark Anthony Linane, PT, MS
• Linda I Parker MD PA
• Cheryl L Lindberg, PH.D.
• Janet Lindenmoyer, OTR
• Ling Perio, PLLC
• Lionrich Allen LLC
• Lisa Hsu, DDS P.C.

• General Practice Dentistry in Allen, TX
• Providers in Allen, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.