DR. ROBERT W. JACOBS (NPI# 1053307678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053307678 |
Entity Type | Individual |
Full Name | DR. ROBERT W. JACOBS |
Credential | D.D.S. |
Practice Address |
346 Maine St Lawrence KS 66044-1359 |
Mailing Address |
2232 Vermont St Lawrence KS 66046-3066 |
Practice Telephone | 7858429223 |
Practice Fax Number | 7858424335 |
Mailing Telephone | 7858410762 |
Mailing Fax Number | 7848410174 |
Enumeration Date | 2005-09-20 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4845 | KS | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | DENTAL LICENSE NUMBER | 4845 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336604719 | Robert Darrell Jacobs | Technician | 3030 30th St Se Apt 213, Washington, DC 20020-1657 | 2019-02-09 |
1811187321 | Robert Stephen Jacobs | Counselor | 200 W. Country Ln., Ccollinsville, IL 62203-0000 | 2007-07-31 |
1265562243 | Robert Rubin Jacobs | Optometrist | 6849 Old Dominion Dr, Suite 300, Mclean, VA 22101-3724 | 2007-03-07 |
1336296847 | Robert John Jacobs | Counselor | 2378 Scotney Castle Ln, Powder Springs, GA 30127-5900 | 2007-01-05 |
1649337247 | Robert David Jacobs | Pediatrics | 2965 Arguello Drive, Burlingame, CA 94010 | 2007-01-02 |
1821187741 | Robert Montagu Jacobs | Counselor | 87451 Green Hill Rd, Eugene, OR 97402-9170 | 2006-10-11 |
1194810390 | Robert A Jacobs | Specialist | 4616 Nesconset Hwy, Port Jefferson Station, NY 11776-2563 | 2006-10-04 |
1023028446 | Robert Jacobs | Otolaryngology | 3907 Waring Rd Ste 1, Oceanside, CA 92056-4454 | 2006-08-08 |
1699789578 | Robert Jeffrey Jacobs | Dentist | 100 State Route 37, New Fairfield, CT 06812-4024 | 2006-07-28 |
1760405013 | Robert R Jacobs | Podiatrist | 613 Heidel Rd, Thiensville, WI 53092-1439 | 2006-07-26 |
Street Address |
346 MAINE ST |
City | LAWRENCE |
State | KS |
Zip Code | 66044-1359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790782134 | Pediatric & Adolescent Medicine P.a. | Pediatrics | 346 Maine St, Lawrence, KS 66044-1359 | 2005-06-30 |
1144683483 | Lindsey Mcdaniel | Pediatrics | 346 Maine St, Lawrence, KS 66044-1393 | 2016-04-04 |
1871974865 | Lisa Pearse Russell | Nurse Practitioner | 346 Maine St, Lawrence, KS 66044-1393 | 2015-06-15 |
1417376559 | Sunflower Pediatric Eye Care & Strabismus LLC | Ophthalmology | 346 Maine St, Suite 400, Lawrence, KS 66044-1393 | 2014-04-15 |
1609209931 | Logan Michael Harmon | Pharmacist | 346 Maine St, Lawrence, KS 66044-1393 | 2013-08-09 |
1902247646 | Timothy S Bredehoft | Pharmacist | 346 Maine St, Lawrence, KS 66044-1393 | 2013-07-10 |
1134568405 | Tyler C Lewis | Pharmacist | 346 Maine St, Lawrence, KS 66044-1393 | 2013-06-20 |
1972949113 | Lawrence Memorial Hospital | Family Medicine | 346 Maine St, Suite 100, Lawrence, KS 66044-1393 | 2013-05-15 |
1972854859 | Brittany Wessels | Pharmacist | 346 Maine St, Lawrence, KS 66044-6528 | 2012-10-02 |
1790048239 | Anthony Joe Strickland | Family Medicine | 346 Maine St, Ste 150, Lawrence, KS 66044-1393 | 2012-06-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770041766 | Leslie Lynne Snow | Radiology | 325 Maine St Lawrence, Ks 66044, Lawerence, KS 66044 | 2019-03-08 |
1316439409 | Marjorie R Cooper Paschang | Counselor | 841 1/2 Massachusetts St Ste D, Lawrence, KS 66044 | 2018-06-04 |
1497255004 | Social Perspective, LLC | Social Worker | 211 E. 8th Street, #c, Lawrence, KS 66044 | 2018-02-20 |
1164920955 | Abby Hein | Pharmacist | 325 Maine Street, Pharmacy Dept, Lawrence, KS 66044 | 2018-01-26 |
1922515899 | The Magnolia Institute, LLC | Community/Behavioral Health | 729 1/2 Massachusetts. St., Suite 215, Lawrence, KS 66044 | 2018-01-02 |
1538615190 | Atma Clinic, LLC | Clinic/Center | 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 | 2016-09-01 |
1497119499 | Anne Ferguson | Pharmacist | 1025 N 3rd St Ste 110, Heartland Homecare, Lawrence, KS 66044 | 2016-04-06 |
1467826180 | Americare At Monterey Village Assited Living LLC | Assisted Living Facility | 3901 Peterson Road, Lawrence, KS 66044 | 2015-11-18 |
1669886008 | Spencer Harrison | Psychiatry & Neurology | 1130 W 4th St Ste 3200, Lawrence, KS 66044 | 2014-06-13 |
1245658715 | Patrick Harper | Anesthesiology | 330 Arkansas St Ste 201, Lawrence, KS 66044 | 2014-04-02 |
Find all providers in zip 66044 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285016774 | Elizabeth Mary Powers | Dentist | 4320 W 6th St Ste 101, Lawrence, KS 66049-3613 | 2015-06-22 |
1316287139 | Lawrence Pediatric Dentistry LLC | Dentist | 346 Maine, Lawrence, KS 66044-1393 | 2013-02-15 |
1922360866 | Katayoun Tajik | Dentist | 73 Winthrop Ave, Lawrence, MA 01843-2836 | 2012-06-15 |
1023244894 | Barbara Opsahl Schupp | Dentist | 346 Maine St, Lawrence, KS 66044-1393 | 2009-06-05 |
1922265339 | Maritza Morell Dmd PC | Dentist | 100 Amesbury St, Suite 111, Lawrence, MA 01840-1321 | 2008-05-22 |
1952396756 | Robert W. Jacobs, D.d.s., P.a. | Dentist | 346 Maine St, Lawrence, KS 66044-1359 | 2005-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043786932 | Robinson T Kiser Dmd LLC | Dentist | 2511 S 4th St, Leavenworth, KS 66048-4512 | 2018-10-17 |
1942795976 | Blue Valley Pediatric Dentistry LLC | Dentist | 7560 W 160th St, Overland Park, KS 66085 | 2018-06-22 |
1871016089 | Topeka Pediatric Dentistry LLC | Dentist | 2445 Sw Wanamaker Rd Ste 103, Topeka, KS 66614-5470 | 2017-07-19 |
1770014904 | Matthew R. Healy D.d.s., P.a. | Dentist | 3933 N Maize Rd, Suite 200, Maize, KS 67101-9618 | 2017-03-21 |
1710428180 | Little Apple Pediatric Dentistry, LLC | Dentist | 1133 College Ave Ste D164, Manhattan, KS 66502-2940 | 2017-03-17 |
1568880581 | Conrad Parks | Dentist | 4601 W 109th St Ste 217, Overland Park, KS 66211-1314 | 2014-04-07 |
1881937399 | Vanessa Renee Axelsen | Dentist | 7560 W 160th Street, Overland Park, KS 66085-6608 | 2013-04-03 |
1790021459 | Jenkins & Leblanc | Dentist | 15151 S Blackbob Rd, Olathe, KS 66062-3301 | 2012-12-27 |
1831489954 | Tieg Bryant Selberg | Dentist | 6810 Silverheel St, Shawnee, KS 66226-5300 | 2011-04-11 |
1609076694 | Smiles Dentistry for Kids, LLC | Dentist | 14700 Metcalf Ave Ste 110, Overland Park, KS 66223-2204 | 2007-07-19 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.