Jacob Rosebrock

Primary specialty

DentistTaxonomy code 122300000X

License

30.028049 Issued in OH

Practice address

10441 Valley View Rd
Macedonia, OH 44056-1746

Phone

(330) 468-2634

NPI assigned

Mar 4, 2024

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

State licenses

Practice roles

Locations

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.

• Ohio Dental Professionals, Delisle, P.C.

  • General Practice Dentistry
  • Macedonia, OH
  • NPI 1881444750
  NPD

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1891552261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10441 VALLEY VIEW RD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561746",
            "telephone_number": "330-468-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 VALLEY VIEW RD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561746",
            "telephone_number": "330-468-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEBROCK",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.028049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rainier C Reyes
• Robertta Ann Rhoda, LDO
• Robin C Rice, DOULA
• Robert J Donna
• Shanices Robinson, LSW
• Cortni Marie Russell, D.D.S.
• Dtodd Russell, DDS
• Taufika H Sakhawat, LSW
• Patricia Lynne Scott
• Selina Dickenson

• Dentist in Macedonia, OH
• Providers in Macedonia, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.