Jacobs Dental Group LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JACOBS DENTAL GROUP LLC

Practice address

2916 W Stolley Park Road
Suite B
Grand Island, NE 68801-6807

Phone

(308) 382-6660

Fax

(308) 381-9809

NPI assigned

Mar 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Timothy L Jacobs, D.D.S.NPI 1609951458

Title

Owner

Phone

(308) 382-6660

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Timothy Lee Jacobs, DDS

  • General Practice Dentistry
  • Grand Island, NE
  • NPI 1609951458
  NPD (past) Authorized official
• Cody Rush, DDS

  • General Practice Dentistry
  • Grand Island, NE
  • NPI 1114535234
  NPD

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1871293688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 W STOLLEY PARK ROAD",
            "address_2": "SUITE B",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016807",
            "telephone_number": "308-382-6660",
            "fax_number": "308-381-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 W STOLLEY PARK ROAD",
            "address_2": "SUITE B",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688016807",
            "telephone_number": "308-382-6660",
            "fax_number": "308-381-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBS DENTAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-382-6660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni Ismael
• Iverson Chiropractic Clinic, P.C.
• Casey J Iverson, D.C.
• Adriana Izquierdo
• Michelle D Jack, LCSW
• Timothy Lee Jacobs, DDS
• Eva Lee Jaixen
• James E Lewandowski DPM
• Elizabeth Anne James
• Melissa Marie Jameson

• General Practice Dentistry in Grand Island, NE
• Providers in Grand Island, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.