1. Home
  2. Directory
  3. Illinois
  4. Springfield
  5. Dentist
  6. NPI Profile

JACOB PHILIP DDS
NPI 1407261852
Dentist - General Practice in Springfield, IL

Active since June 24, 2014PECOS Enrolled
802 N 9TH ST, SPRINGFIELD, IL 62702(847) 701-1457(847) 496-7603 Get Directions Write a Review

NPPES record last updated: July 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Philip Dds NPPES

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

JACOB PHILIP DDS (NPI 1407261852) is an individual general practice provider in Springfield, Illinois, licensed in Illinois (019029840) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407261852
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJACOB PHILIPCredential: DDS
Location Address802 N 9TH STSpringfield, IL 62702
Mailing Address2050 E Algonquin Rd, Suite 610Schaumburg, IL 60173-4144 · (888) 988-4066 · Fax (847) 496-4850
Phone(847) 701-1457
Fax(847) 496-7603
Sole ProprietorYes
Enumeration DateJune 24, 2014
Last NPPES UpdateJuly 5, 2018
✔ NPI 1407261852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019029840
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
802 N 9TH ST, Springfield, IL 62702
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Philip Dds 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 62702 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 15

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

FAMILIA DENTAL SPRINGFIELD 2 LLC
Dentist
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (888) 988-4066
SAFA KHALIL DMD
Dentist (General Practice)
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 679-2896
DR. BEOM SEOK KIM
Dentist (General Practice)
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 801-9077
DINESH RAAVI
Dentist
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 679-2896
PETER SHIH
Dentist (Orthodontics and Dentofacial Orthopedics)
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (888) 988-4066
JITENDRAKUMAR PATEL DDS
Dentist (General Practice)
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (630) 248-2526
DR. ELIANE FOSSATTI GONCALVES DDS
Dentist (General Practice)
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 679-2896
GURJEET KAUR SIDHU DDS
Dentist
802 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (888) 988-4066

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 Philip's NPI number?

The NPI number for Jacob Philip is 1407261852. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Jacob Philip located?

Jacob Philip practices at 802 N 9th St, Springfield, IL 62702. The listed phone number is (847) 701-1457.

What is Jacob Philip's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jacob Philip enrolled in Medicare?

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

What insurance does Jacob Philip accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 17 other insurers list Jacob Philip as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Philip was last updated on July 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.