Allan Ira Jacobson, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042720 Issued in NY

Practice address

354 Hunter Street
Ossining, NY 10562

Phone

(914) 941-0108

Fax

(914) 941-3330

NPI assigned

Mar 18, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nys Doccs Sing Sing Correctional Facility

  • Prison Health Clinic/Center
  • Ossining, NY
  • NPI 1891403150
  NPD (past)

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1992764021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 HUNTER STREET",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "10562",
            "telephone_number": "914-941-0108",
            "fax_number": "914-941-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 HUNTER STREET",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "10562",
            "telephone_number": "914-941-0108",
            "fax_number": "914-941-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "ALLAN",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Intrinsic Mental Health Counseling LLC
• Christine R Iovino
• Shantal Jackson
• Dolly Jacobs, LPN
• Clara Jacobsohn
• Stacy Jaikaran, MA
• Kimia Javadi
• Thara Jeanty Toich, DPT
• Noah Alexander Jefferson
• Maribeth C. Jimenez, FNP

• General Practice Dentistry in Ossining, NY
• Providers in Ossining, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.