Allen Jacobson, DDS, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

58210 Issued in CA

Legal business name

ALLEN JACOBSON, DDS, PC

Practice address

11005 Firestone Blvd Ste 106
Norwalk, CA 90650-2224

Phone

(818) 687-8778

NPI assigned

Apr 21, 2010

Last updated

Oct 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Allen Jacobson, DDS, MDS

Title

Ceo

Phone

(818) 687-8778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1972820678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15725 MORRISON ST",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361543",
            "telephone_number": "818-687-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 FIRESTONE BLVD STE 106",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502224",
            "telephone_number": "818-687-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN JACOBSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-687-8778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "58210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.