Individual provider Active NPI

Scott Jacobs, DMD

  • Dentist
  • Frankfort, KY
National Provider Identifier
1982157681
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9749 Issued in KY
Practice address
1006 Leawood Dr
Suite #200
Frankfort, KY 40601-3349
Phone
(502) 223-0211
NPI assigned
Jul 28, 2016
Last updated
Sep 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9749 KY Primary

Addresses

Primary practice location

1006 Leawood Dr
Suite #200
Frankfort, KY 40601-3349

Mailing address

2269 Market Garden LN
Lexington, KY 40509-8525
Phone (859) 512-4833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20161028001141 KY Practitioner - Oral Surgery 2567740319 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Kentucky Dentist CurrentSince Sep 5, 2016 Accepting new patients
University of Kentucky CurrentSince Sep 5, 2016 Accepting new patients
Swintosky and Peters Dentist Past Accepting new patients

Locations

770 Rose St
Lexington, KY 40536
Phone (859) 323-3368

800 Rose St
Rm D104
Lexington, KY 40536
Phone (859) 323-5831

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1982157681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 MARKET GARDEN LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098525",
            "telephone_number": "859-512-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 LEAWOOD DR",
            "address_2": "SUITE #200",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406013349",
            "telephone_number": "502-223-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.