Organization Active NPI

Jacobi Family Dental PC

  • General Practice Dentistry
  • Buckeye, AZ
National Provider Identifier
1982764973
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JACOBI FAMILY DENTAL PC
Practice address
1300 S Watson Rd
Ste A100
Buckeye, AZ 85326-6264
Phone
(623) 386-3333
Fax
(623) 386-3544
NPI assigned
Dec 11, 2006
Last updated
Jan 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Rick L. Jacobi, DDS
Title
President
Phone
(623) 386-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1300 S Watson Rd
Ste A100
Buckeye, AZ 85326-6264

Mailing address

1300 S Watson Rd
Ste A100
Buckeye, AZ 85326-6264
Phone (623) 386-3333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1982764973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S WATSON RD",
            "address_2": "STE A100",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266264",
            "telephone_number": "623-386-3333",
            "fax_number": "623-386-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S WATSON RD",
            "address_2": "STE A100",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853266264",
            "telephone_number": "623-386-3333",
            "fax_number": "623-386-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOBI FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "JACOBI",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-386-3333",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.