MR. JACOB T. DINES DO
NPI 1003380288
Military Health Care Provider in Ridgecrest, CA

Q: What is Jacob Dines's NPI number?

The NPI number for Jacob Dines is 1003380288. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Q: What is Jacob Dines's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Dines was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2019PECOS Enrolled

1 ADMINISTRATION CIR # MS 1015, RIDGECREST, CA 93555(760) 939-8063 Get Directions Write a Review

NPPES record last updated: July 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2021, Feb 26, 2019, Jan 22, 2019 (3 updates tracked since 2019).

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About Mr. Jacob T. Dines Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACOB T. DINES DO (NPI 1003380288) is an individual military health care provider provider in Ridgecrest, California, licensed in Florida (OS17059) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003380288

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameMR. JACOB T. DINESCredential: DO

Location Address1 ADMINISTRATION CIR # MS 1015Ridgecrest, CA 93555-6104

Mailing Address1 Administration Cir # Ms 1015Ridgecrest, CA 93555-6104 · (760) 939-8063

Phone(760) 939-8063

Sole ProprietorYes

Enumeration DateJanuary 22, 2019

Last NPPES UpdateJuly 21, 20213 updates tracked since enumeration

NPPES CertifiedJuly 21, 2021

✔ NPI 1003380288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

License✔ Licensed in FL · OS17059

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1 ADMINISTRATION CIR # MS 1015, Ridgecrest, CA 93555

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jacob T. Dines Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Dines's NPI number?

The NPI number for Jacob Dines is 1003380288. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Jacob Dines located?

Jacob Dines practices at 1 Administration Cir # Ms 1015, Ridgecrest, CA 93555. The listed phone number is (760) 939-8063.

What is Jacob Dines's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Is Jacob Dines enrolled in Medicare?

Yes. Jacob Dines is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacob Dines was last updated on July 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.