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

Q: 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.

Q: What is Jacob Haslem's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Haslem was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

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: October 18, 2026.

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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

Phone(801) 318-7475

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Haslem reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tuba City Regional Health Care Corporation

Same address

General Acute Care Hospital

167 NORTH MAIN STREET
Tuba City, AZ 86045

Reassigned Medicare billing, Texas enrollment
540 clinicians in this Medicare group

NPI 1548294424 (928) 283-2501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TINA LYNN THORPE RN

Registered Nurse