NPIMap

Organization Active NPI

Aby a Jacob, DMD, PC

  • Dentist
  • Carrollton, TX
National Provider Identifier
1891041463
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20704 Issued in TX
Legal business name
ABY A JACOB, DMD, PC
Practice address
1012 W Hebron Pkwy
Suite 108
Carrollton, TX 75010-1122
Phone
(972) 939-6500
Fax
(972) 939-5300
NPI assigned
Aug 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Dr. Aby A Jacob, D.M.D.NPI 1518089432
Title
President
Phone
(972) 939-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 20704 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 20704 TX

Addresses

Primary practice location

1012 W Hebron Pkwy
Suite 108
Carrollton, TX 75010-1122

Mailing address

1012 W Hebron Pkwy
Suite 108
Carrollton, TX 75010-1122
Phone (972) 939-6500

Other names 1

  • Premier Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

1012 W Hebron Pkwy
Ste 108
Carrollton, TX 75010
Phone (972) 939-6500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1891041463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W HEBRON PKWY",
            "address_2": "SUITE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101122",
            "telephone_number": "972-939-6500",
            "fax_number": "972-939-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W HEBRON PKWY",
            "address_2": "SUITE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750101122",
            "telephone_number": "972-939-6500",
            "fax_number": "972-939-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABY A JACOB, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "ABY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-939-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20704",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.