DR. BRADLEY JOHN JACOBS (NPI# 1356444384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356444384 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY JOHN JACOBS |
| Credential | DDS MS |
| Practice Address |
1005 Executive Dr Suite 105 Hixson TN 37343-7903 |
| Practice Telephone | 4238771286 |
| Practice Fax Number | 4238771290 |
| Mailing Telephone | 4238771286 |
| Mailing Fax Number | 4238771290 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2009-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS8742 | TN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801406863 | Bradley Jacobs | Case Manager/Care Coordinator | 125 Big Sink Rd Ste B, Versailles, KY 40383-1956 | 2020-08-05 |
| 1104882976 | Bradley S Jacobs | Psychiatry & Neurology | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2006-04-21 |
| 1194721498 | Bradley Edgar Jacobs | Obstetrics & Gynecology | 2927 Lyndhurst Ave, Winston-salem, NC 27103-4005 | 2005-06-22 |
| Street Address |
1005 EXECUTIVE DR SUITE 105 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-7903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477549178 | Don F Flanagan Dds Ms PC | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2005-09-27 |
| 1730327644 | Jaw, LLC | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2009-01-30 |
| 1275771222 | Jacobs Entrepreneurial Group | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2009-01-29 |
| 1013095207 | Don F. Flanagan Dds Ms PC | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2006-11-02 |
| 1194808865 | Dental Center, Inc | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2006-10-24 |
| 1619997590 | Kristen Walters Jacobs | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2006-07-20 |
| 1639169030 | Don F Flanagan | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2005-10-26 |
| 1578559282 | Elizabeth June Conley | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2005-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215076203 | Jill P. Hodges | Dentist | 5470 Hixson Pike Ste B, Hixson, TN 37343-3299 | 2007-02-06 |
| 1447324710 | Thomas Craig Flanagan | Dentist | 4703 Hixson Pike, Hixson, TN 37343-4818 | 2006-11-20 |
| 1619968344 | Dennis W Standifer | Dentist | 1724 Hamill Rd, Suite 202, Hixson, TN 37343-5152 | 2005-11-02 |
| 1477549178 | Don F Flanagan Dds Ms PC | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2005-09-27 |
| 1831622570 | Sonia Bravo | Dentist | 1724 Hamill Rd, Suite 202, Hixson, TN 37343-5152 | 2017-04-10 |
| 1174066724 | Standifer Orthodontics, Pllc | Dentist | 1724 Hamill Rd, Suite 202, Hixson, TN 37343-5152 | 2016-11-30 |
| 1730327644 | Jaw, LLC | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2009-01-30 |
| 1013095207 | Don F. Flanagan Dds Ms PC | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2006-11-02 |
| 1619997590 | Kristen Walters Jacobs | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2006-07-20 |
| 1639169030 | Don F Flanagan | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2005-10-26 |
| Find all providers in HIXSON | ||||
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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.