DR. DAVID JACOBS
NPI 1750763512
Dentist - General Practice in Saint Clair Shores, MI
About Dr. David Jacobs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID JACOBS (NPI 1750763512) is an individual general practice provider in Saint Clair Shores, Michigan, licensed in Michigan (2901021531) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Dr. David Jacobs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
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 David Jacobs's NPI number?
The NPI number for David Jacobs is 1750763512. It was assigned to this individual provider in the NPPES registry on June 29, 2015.
Where is David Jacobs located?
David Jacobs practices at 22811 Greater Mack Ave Suite L-10, Saint Clair Shores, MI 48080. The listed phone number is (586) 774-2400.
What is David Jacobs's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is David Jacobs enrolled in Medicare?
Yes. David Jacobs is registered in the Medicare PECOS enrollment system.
What insurance does David Jacobs accept?
Health plans from BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list David Jacobs 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 David Jacobs was last updated on June 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Dr. David Jacobs · NPI 1750763512
General Practice provider in Saint Clair Shores, Michigan. Individual provider, active in the CMS NPPES registry since June 29, 2015.
## Identity
- **NPI:** 1750763512 (Entity type: Individual)
- **Enumerated:** June 29, 2015
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2901021531 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 22811 GREATER MACK AVE, SUITE L-10, Saint Clair Shores, MI 48080-2021
- **Phone:** (586) 774-2400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 29, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1750763512) · Data from the CMS NPPES public registry.