JONATHAN JACOBY (NPI# 1023490893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023490893 |
| Entity Type | Individual |
| Full Name | JONATHAN JACOBY |
| Credential | DDS |
| Practice Address |
1411 S Range Line Rd Joplin MO 64801-5589 |
| Practice Telephone | 4175537377 |
| Practice Fax Number | 4175537293 |
| Mailing Telephone | 4175537377 |
| Mailing Fax Number | 4175537293 |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2015016758 | MO | Dental Providers |
| Street Address |
1411 S RANGE LINE RD |
| City | JOPLIN |
| State | MO |
| Zip Code | 64801-5589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306266267 | Emily Katherine Handley, Dds, PC | Dentist | 1411 S Range Line Rd, Joplin, MO 64801-5589 | 2014-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747783 | Chelsea Marie Wilson | Speech-Language Pathologist | Kaleidoscope Clinic 3531 N Range Line Rd, Joplin, MO 64801 | 2020-07-21 |
| 1639669807 | Cassandra Lee Williams | Speech-Language Pathologist | 310 W 8th Street, Joplin, MO 64801 | 2018-05-14 |
| 1427593177 | Healthone Labs LLC | Clinical Medical Laboratory | 101 N Rangline Rd, 304, Joplin, MO 64801 | 2017-01-04 |
| 1902253768 | Options Outpaitent Counseling Service | Counselor | 1515 W 10th St., Suite E, Joplin, MO 64801 | 2016-05-20 |
| 1467833871 | Regan Gass | Nurse Practitioner | 2912 West 16th Street, Joplin, MO 64801 | 2015-06-11 |
| 1881091171 | Pamela Ann Younger | Dental Hygienist | 530 S Maiden Lane, Joplin, MO 64801 | 2014-12-02 |
| 1588908065 | Amy Maria Manrique | Counselor | 301 E. Virginia Street, Joplin, MO 64801 | 2012-11-21 |
| 1356612329 | Ideal Care Clinical Services, LLC | Pharmacy | 5898 North Main, Suite 109, Joplin, MO 64801 | 2012-01-23 |
| 1124256037 | Nathalie Grace Canete Husain | Physical Therapist | Gmmpcpi 214 West 5th St., Suite D & E, Joplin, MO 64801 | 2009-06-30 |
| 1912162447 | David Odinga Egessah | Occupational Therapist | 214 West 5th St, Gmm Procare Providers Inc, Joplin, MO 64801 | 2008-07-24 |
| Find all providers in zip 64801 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932558186 | Craig M Mulherin | Dentist | 1710 E 32nd St Ste J, Joplin, MO 64804 | 2016-06-08 |
| 1578997516 | Heath Bryan Coleman, Dds of Missouri II, LLC | Dentist | 1816 S Rangeline, Ste D, Joplin, MO 64804 | 2013-08-27 |
| 1376807537 | Brett E Cotham | Dentist | 614 E 32nd St, Joplin, MO 64804-3905 | 2012-07-02 |
| 1386907194 | Fitterling Dentistry, LLC | Dentist | 4402 E 32nd St Ste B, Joplin, MO 64804-4453 | 2012-06-18 |
| 1154617447 | Jamie Lynn Place | Dentist | 3001 Even, Joplin, MO 64804-9109 | 2011-06-24 |
| 1407167828 | Baxter Newton | Dentist | 512 E 32nd St Ste 105, Joplin, MO 64804-3903 | 2010-06-30 |
| 1881845246 | Mark Steven Woodin | Dentist | 2228 Maiden Lane, Joplin, MO 64804 | 2008-10-03 |
| 1699933457 | Gary L Selby | Dentist | 1300 W 26th St, Joplin, MO 64804-1722 | 2008-05-29 |
| 1821266149 | Dr. Michael Patterson, Dds, PC | Dentist | 2700 Mcclelland Blvd Bldg A, Joplin, MO 64804-1623 | 2008-02-20 |
| 1306043575 | Craig Anthony Hayes Jr. | Dentist | 2509 S Jackson Ave, Joplin, MO 64804-1941 | 2007-06-29 |
| Find all providers in JOPLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.