Jacob Werba DDS LTD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN01863 Issued in RI

Legal business name

JACOB WERBA DDS LTD

Practice address

655 Broad St
Providence, RI 02907-1444

Phone

(401) 751-9050

Fax

(401) 861-0873

NPI assigned

May 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jacob David Werba, DDS

Title

Owner

Phone

(401) 751-9050

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871705418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071444",
            "telephone_number": "401-751-9050",
            "fax_number": "401-861-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 BROAD ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029071444",
            "telephone_number": "401-751-9050",
            "fax_number": "401-861-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB WERBA DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WERBA",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-751-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "RI",
            "license": "DEN01863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JW57856",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Jackson
• Kimberly Lynn Jackson, LCSW
• Linda Ann Jackson, R.N.
• Syreeta Lea Jackson, LCSW
• Rosalie Judith Jackvony, R.N.
• Isa Mulingbayan Jacoba, MD
• Elizabeth Anne Jacobs, MA
• Elizabeth S Jacobs, MD
• Ellen S Jacobs
• Alexis Jacobson, MD

• General Practice Dentistry in Providence, RI
• Providers in Providence, RI by specialty
• General Practice Dentistry in Rhode Island

• 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.