Michael L. Jacobsen, D.D.S., M.S., Inc.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

30185 Issued in CA

Legal business name

MICHAEL L. JACOBSEN, D.D.S., M.S., INC.

Practice address

12587 Hesperia Rd Ste a
Victorville, CA 92395-5847

Phone

(760) 951-7752

Fax

(760) 951-5446

NPI assigned

Jul 29, 2006

Organization subpart

No

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

Authorized official

Name

Michael Jacobsen

Title

President

Phone

(760) 951-7752

Specialties & licenses 1

Addresses

Practitioners 1

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

• Imad Maleeh, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Victorville, CA
  • NPI 1295260768
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831103175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12587 HESPERIA RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955847",
            "telephone_number": "760-951-7752",
            "fax_number": "760-951-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12587 HESPERIA RD STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955847",
            "telephone_number": "760-951-7752",
            "fax_number": "760-951-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. JACOBSEN, D.D.S., M.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-951-7752"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "30185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Elizabeth Merida
• Tammy Lajaun Merritt
• Elsa Mesina, MSBA RDN, RN
• Jorgina Ann Meza
• Michael Guerret, O.D. Inc.
• Michael M. Fanous, D.P.M., Inc.
• Lamar Gregory Mickey, ED.D.
• Vellvet Miguel Barrera
• Elizabeth M Milan-Martinez
• Arash Milani, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Victorville, CA
• Providers in Victorville, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.