Courtney Jacocks, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32623 Issued in TX

Practice address

2552 Broadway St Ste 102
Pearland, TX 77581-4904

Phone

(281) 824-1490

Fax

(281) 220-6407

NPI assigned

May 6, 2013

Sex

Female

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Stephen F. Austin Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alvin, TX
  • NPI 1578730818
  Medicare reassignment NPD
• Stephen F Austin Community Health Center,Inc

  • Federally Qualified Health Center (FQHC)
  • Bacliff, TX
  • NPI 1962986562
  NPD

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1932544889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 CALLAWAY DR",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775113743",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 BROADWAY ST STE 102",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775814904",
            "telephone_number": "281-824-1490",
            "fax_number": "281-220-6407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Adoue St",
            "address_purpose": "LOCATION",
            "city": "Alvin",
            "state": "TX",
            "postal_code": "775112718",
            "country_code": "US",
            "telephone_number": "281-824-1480",
            "fax_number": "281-220-6407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOCKS",
        "first_name": "COURTNEY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Jacobs-Rodriguez, D.C.
• Cottrell Lamar Jacobs, LPC
• Gold Jacobs
• Kevin Jacobs, LMT
• Venessa Jacobson
• Jacqueline Rice, MD, PA
• Zahed I Jafri, LSA, CSA,RSA
• Jai V Patel DDS PA
• Mahendra G. Jain, M.D.
• Jennifer Dunham James, M.B.A., D.M.D., M.S.

• General Practice Dentistry in Pearland, TX
• Providers in Pearland, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.