Andrew Jacob, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6002270-15 Issued in WI

Practice address

1401 Kingston Ter
Green Bay, WI 54302-5405

Phone

(920) 465-4477

Fax

(920) 465-4479

NPI assigned

Jul 28, 2026

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Nein Schnarchen Inc

  • Durable Medical Equipment & Medical Supplies
  • Green Bay, WI
  • NPI 1417411679
  NPD (past)

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1851213326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 KINGSTON TER",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543025405",
            "telephone_number": "920-465-4477",
            "fax_number": "920-465-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 KINGSTON TER",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543025405",
            "telephone_number": "920-465-4477",
            "fax_number": "920-465-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "6002270-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackie Nitschke Center, Inc.
• James Alan Jackimowicz, OT
• Lorraine Helena Mary Jackson, MD
• Peter Allen Jackson, PHARMD
• Shawn E Jackson, P.T.
• Jacob'S Well Counseling Center Inc
• Jacob'S Well Presbyterian Church
• Colleen Jacobe, RN
• Jacobs Well Presbyterian Churcha
• Emily Laura Jacobson

• General Practice Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.