DR. MICHAEL LYNN JACOBSEN (NPI# 1053335927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053335927 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LYNN JACOBSEN |
| Credential | DDS |
| Practice Address |
1120 S Clifton Ave Wichita KS 67218-2913 |
| Practice Telephone | 3166874111 |
| Practice Fax Number | 3166881098 |
| Mailing Telephone | 3166874111 |
| Mailing Fax Number | 3166881098 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6409 | KS | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063630325 | Michael Eric Jacobsen | Chiropractor | 8001 N Dale Mabry Hwy Ste 301, Tampa, FL 33614-3264 | 2007-04-23 |
| 1760009906 | Michael Jacobsen | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-04 |
| Street Address |
1120 S CLIFTON AVE |
| City | WICHITA |
| State | KS |
| Zip Code | 67218-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544392 | Diana Ho | Optometrist | 980 Oliver Street, Wichita, KS 67218 | 2020-07-03 |
| 1134773690 | Lily Lopez | Nurse's Aide | 5107 E Kellogg Drive, Wichita, KS 67218 | 2019-08-01 |
| 1750862512 | Kelsi Wenger | Student in an Organized Health Care Education/Training Program | 5500 E Kellog Dr, Wichita, KS 67218 | 2018-08-28 |
| 1770038937 | Hair Replacement Clinic | Specialist | 1815 S Windsor, Wichita, KS 67218 | 2016-08-17 |
| 1457757346 | South Wind Women's Centter, LLC | Clinic/Center | 5701 E Kellogg Drive, Wichita, KS 67218 | 2014-11-05 |
| 1124460787 | Teri Kitchen | Social Worker | 3414 Kinkaid, Wichita, KS 67218 | 2013-07-24 |
| 1053660142 | Glenda Rodgers-lawless, Ph.d., Lcpc, Pa | Community/Behavioral Health | 4601 E Douglas, Wichita, KS 67218 | 2012-09-05 |
| 1649541848 | Stephen Rhinehart | Registered Nurse | 5500 E Kellogg Dr., Wichita, KS 67218 | 2012-01-19 |
| 1457666927 | Recovery Services Council Inc. | Point of Service | 1611 South Rutan, Wichita, KS 67218 | 2010-08-09 |
| 1043535867 | Melissa A Weinley | Respiratory Therapist, Registered | 5500 East Kellog Dr, Wichita, KS 67218 | 2010-04-05 |
| Find all providers in zip 67218 | ||||
| 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 |
|---|---|---|---|---|
| 1538778576 | Kelsie Cole | Dentist | 415 S 119th St W, Wichita, KS 67235-1816 | 2020-07-27 |
| 1851909329 | Michael Jay Somma | Dentist | 2838 N. Oliver Ave, Wichita, KS 67220 | 2020-07-21 |
| 1356966352 | Paul Lewis | Dentist | 301 N Main St Ste 1420, Wichita, KS 67202-4814 | 2020-06-15 |
| 1861014367 | Smile Craft Dental, LLC | Dentist | 5315 E 21st St N Ste 104, Wichita, KS 67208-1600 | 2020-05-07 |
| 1851937650 | Precision Dental West, LLC | Dentist | 3900 W Central Ave Ste 100, Wichita, KS 67203-4928 | 2019-11-27 |
| 1629622352 | Mason and Mason Dentistry, Pa | Dentist | 201 S Towne East Mall Dr Ste 101, Wichita, KS 67207-1068 | 2019-07-31 |
| 1043871445 | Avery Brooke Beard | Dentist | 13121 E 21st St N Ste 107, Wichita, KS 67230-7403 | 2019-06-26 |
| 1912565011 | Cara Lee Detmer | Dentist | 8404 W 13th St N Ste 200, Wichita, KS 67212-2978 | 2019-06-03 |
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1972000420 | Newmarket Smiles Dentistry | Dentist | 10240 W 29th St N Ste 102, Wichita, KS 67205-7914 | 2018-04-11 |
| Find all providers in WICHITA | ||||
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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.