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DR. BENNETT JACOBY
NPI 1235331273
Dentist - Periodontics in Lihue, HI

Active since June 01, 2007PECOS Enrolled
2978 HALEKO RD, STE A, LIHUE, HI 96766(808) 202-2060 Get Directions Write a Review

NPPES record last updated: November 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Bennett Jacoby NPPES

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

DR. BENNETT JACOBY (NPI 1235331273) is an individual periodontics provider in Lihue, Hawaii, licensed in Hawaii (DT2112) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235331273
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. BENNETT JACOBY
Location Address2978 HALEKO RD, STE ALihue, HI 96766-1379
Mailing AddressPo Box 75407294, Ste. ASioux Falls, SD 57186-1379 · (808) 202-2060
Phone(808) 202-2060
Sole ProprietorYes
Enumeration DateJune 1, 2007
Last NPPES UpdateNovember 7, 2016
✔ NPI 1235331273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in HI · DT2112
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

2978 HALEKO RD, Lihue, HI 96766
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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)

Dr. Bennett Jacoby 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96766 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENNETT JACOBY DDS MS INC.
Case Management
2978 HALEKO RD, STE A
LIHUE, HI 96766
Kauai County (808) 960-5991
DR. TERENCE JOHN CAROLAN M.D.
Pediatrics
2978 HALEKO RD
LIHUE, HI 96766
Kauai County (808) 245-8566
KAUAI PEDIATRICS INC
Pediatrics (Developmental - Behavioral Pediatrics)
2978 HALEKO RD
LIHYE, HI 96766
Kauai County (808) 245-8566

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 Bennett Jacoby's NPI number?

The NPI number for Bennett Jacoby is 1235331273. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Bennett Jacoby located?

Bennett Jacoby practices at 2978 Haleko Rd Ste A, Lihue, HI 96766. The listed phone number is (808) 202-2060.

What is Bennett Jacoby's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Bennett Jacoby enrolled in Medicare?

Yes. Bennett Jacoby is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bennett Jacoby was last updated on November 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.