Organization Active NPI

Robert W. Jacobs, D.D.S., P.a.

  • Pediatric Dentistry
  • Lawrence, KS
National Provider Identifier
1952396756
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
4845 Issued in KS
Legal business name
ROBERT W. JACOBS, D.D.S., P.A.
Practice address
346 Maine St
Lawrence, KS 66044-1359
Phone
(785) 842-9223
Fax
(784) 842-4335
NPI assigned
Sep 18, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert W. Jacobs, D.D.S.
Title
President
Phone
(785) 842-9223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 4845 KS Primary

Addresses

Primary practice location

346 Maine St
Lawrence, KS 66044-1359

Mailing address

346 Maine St
Lawrence, KS 66044-1359
Phone (785) 842-9223

National Provider Directory

National Provider Directory

Locations

346 Maine St
Lawrence, KS 66044
Phone (785) 505-2250

NPI Registry JSON

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

{
    "created_epoch": "1127001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952396756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 MAINE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441359",
            "telephone_number": "785-842-9223",
            "fax_number": "784-842-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 MAINE ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441359",
            "telephone_number": "785-842-9223",
            "fax_number": "784-842-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. JACOBS, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-842-9223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KS",
            "license": "4845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

  • 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.