Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACOB S LAKE DDS
NPI 1811979933
Dentist - General Practice in Chicago, IL

Active since November 15, 2005
2806 W DEVON AVE, CHICAGO, IL 60659(773) 973-1100(773) 973-1531 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jacob S Lake Dds NPPES

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

DR. JACOB S LAKE DDS (NPI 1811979933) is an individual general practice provider in Chicago, Illinois and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1811979933
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACOB S LAKECredential: DDS
Location Address2806 W DEVON AVEChicago, IL 60659-1502
Mailing Address1800 Mission Hills RdNorthbrook, IL 60062-5750 · (847) 562-0808
Fax(773) 973-1531
Sole ProprietorNo
Enumeration DateNovember 15, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1811979933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2806 W DEVON AVE, Chicago, IL 60659

Accepted Insurance

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.

Dentist
2806 W DEVON AVE
CHICAGO, IL 60659
Dentist (General Practice)
2806 W DEVON AVE
CHICAGO, IL 60659
Dentist (General Practice)
2806 W DEVON AVE
CHICAGO, IL 60659

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 Lake's NPI number?

The NPI number for Jacob Lake is 1811979933. It was assigned to this individual provider in the NPPES registry on November 15, 2005.

Where is Jacob Lake located?

Jacob Lake practices at 2806 W Devon Ave, Chicago, IL 60659. The listed phone number is (773) 973-1100.

What is Jacob Lake's specialty?

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

What insurance does Jacob Lake accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Jacob Lake 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 Lake was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.