William Jacobson, D.M.D, M.P.H.

Primary specialty

DentistTaxonomy code 122300000X

License

17896 Issued in MD

Practice address

650 W Baltimore St
Baltimore, MD 21201-1510

Phone

(410) 706-4028

NPI assigned

May 6, 2015

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 OH

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

Locations

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.

• Columbus Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Circleville, OH
  • NPI 1578985453
  Medicare reassignment NPD
• Columbus Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1497817142
  NPD
• Columbus Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1881756526
  NPD
• Columbus Neighborhood Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1669535373
  NPD
• Equitas Health,Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1518227453
  NPD (past)

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1790162014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST STE 5201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510",
            "telephone_number": "410-706-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011510",
            "telephone_number": "410-706-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "WILLIAM",
        "credential": "D.M.D, M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "17896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Kelly Jacobsen
• Katherine Julia Jacobson, M.D.
• Lisa Jacobson, PH.D.
• Lydia Grace Jacobson
• Robert L Jacobson, LCSW-C
• Douglas Jacobstein, M.D.
• Julie M Jacobstein, M.D.
• Aaron M. Jacoby, PH.D.
• Elad Jacoby, M.D.
• Aidan Jacques, M.D.

• Dentist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.