JACOB A HASLEM DDS
NPI 1922237379
Dentist in Tuba City, AZ

Active since July 07, 2009PECOS Enrolled
167 N MAIN STREET, TUBA CITY, AZ 86045(801) 318-7475(866) 667-3006 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob A Haslem Dds NPPES

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

JACOB A HASLEM DDS (NPI 1922237379) is an individual dentist in Tuba City, Arizona, licensed in Arizona (7797) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922237379
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameJACOB A HASLEMCredential: DDS
Location Address167 N MAIN STREETTuba City, AZ 86045
Mailing AddressPo Box 600Tuba City, AZ 86045 · (801) 318-7475 · Fax (866) 667-3006
Fax(866) 667-3006
Sole ProprietorNo
Enumeration DateJuly 7, 2009
NPI 1922237379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · 7797
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

167 N MAIN STREET, Tuba City, AZ 86045

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)

Jacob A Haslem 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 86045 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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 20

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

Anesthesiology
167 N MAIN STREET
TUBA CITY, AZ 86045
Respiratory Therapist, Certified
167 N MAIN STREET
TUBA CITY, AZ 86045
Advanced Practice Midwife
167 N MAIN STREET
TUBA CITY, AZ 86045
Pharmacist
167 N MAIN STREET
TUBA CITY, AZ 86045
Pharmacist
167 N MAIN STREET
TUBA CITY, AZ 86045
Social Worker
167 N MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse (Community Health)
167 N MAIN STREET
TUBA CITY, AZ 86045
Registered Nurse (Infection Control)
167 N MAIN STREET
TUBA CITY, AZ 86045

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 Haslem's NPI number?

The NPI number for Jacob Haslem is 1922237379. It was assigned to this individual provider in the NPPES registry on July 7, 2009.

Where is Jacob Haslem located?

Jacob Haslem practices at 167 N Main Street, Tuba City, AZ 86045. The listed phone number is (801) 318-7475.

What is Jacob Haslem's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Jacob Haslem enrolled in Medicare?

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

What insurance does Jacob Haslem accept?

Health plans from BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 12 other insurers list Jacob Haslem 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 Haslem was last updated on July 7, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.