DR. DALE TRAVERS JACOBS (NPI# 1508969890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508969890 |
| Entity Type | Individual |
| Full Name | DR. DALE TRAVERS JACOBS |
| Credential | D.D.S. |
| Practice Address |
12225 Greenville Ave Suite 122 Dallas TX 75243-2081 |
| Practice Telephone | 9722357060 |
| Practice Fax Number | 9722351588 |
| Mailing Telephone | 9722357060 |
| Mailing Fax Number | 9722351588 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13352 | TX | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699987628 | Dale M. Jacobs | Psychologist | 1240 Sussex Tpke, Suite # 4, Randolph, NJ 07869-2944 | 2007-05-03 |
| Street Address |
12225 GREENVILLE AVE SUITE 122 |
| City | DALLAS |
| State | TX |
| Zip Code | 75243-2081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245211036 | Mary Kight | Psychologist | 12225 Greenville Ave, Ste 700, Dallas, TX 75243-9362 | 2005-11-08 |
| 1952873564 | Laura Lieck | Psychologist | 12225 Greenville Ave, Dallas, TX 75243-9362 | 2018-12-20 |
| 1457841538 | Tanisha Monte | Occupational Therapist | 12225 Greenville Ave, Suite 600, Dallas, TX 75243 | 2018-05-15 |
| 1922500958 | Cynthia Lee Taylor | Speech-Language Pathologist | 12225 Greenville Ave, Dallas, TX 75243-9362 | 2018-03-06 |
| 1639685043 | Megan Eyler | Physical Therapist | 12225 Greenville Ave, Suite 600, Dallas, TX 75243-9362 | 2017-12-20 |
| 1396268082 | Joy Nichols | Occupational Therapist | 12225 Greenville Ave, Suite 600, Dallas, TX 75243 | 2017-07-25 |
| 1013438498 | Diane E Hancock | Physical Therapist | 12225 Greenville Ave, Dallas, TX 75243-9362 | 2017-07-06 |
| 1962936682 | Paula Lynch | Physical Therapy Assistant | 12225 Greenville Ave, Suite 600, Dallas, TX 75243-9362 | 2017-04-19 |
| 1508399668 | Debbie Saucier | Physical Therapist | 12225 Greenville Ave, Dallas, TX 75243-9362 | 2017-04-06 |
| 1669903456 | Ann Reilly | Physical Therapist | 12225 Greenville Ave, Suite 600, Dallas, TX 75243-9362 | 2017-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970830 | Nnamdi Okorie | Licensed Vocational Nurse | [email protected], 13427 Hedgeapple Dr, Dallas, TX 75243 | 2020-07-23 |
| 1629627716 | Mohammad Mehdi Imani Emadi | Dentist | 11970 N Central Expy # 430, Dallas, TX 75243 | 2019-09-10 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1033609292 | Mother Earth Healthcare Services Inc | Home Health | 9821 Summerwood Cir Apt 1701, Dallas, TX 75243 | 2018-05-14 |
| 1346742822 | Chioma Ifeji | Licensed Vocational Nurse | 13317 Daystrom Court, Dallas, TX 75243 | 2018-03-01 |
| 1598282865 | Kimberly Ann Whitney | Social Worker | 11520 N Central Expy Ste 254, Dallas, TX 75243 | 2017-08-27 |
| 1962934083 | Dignity Private Care, LLC | In Home Supportive Care | 8330 Lbj Freeway, Ste 720, Dallas, TX 75243 | 2017-03-29 |
| 1699214569 | Vitalis Home Health LLC | Home Health | 9821 Summerwood Cir Apt 1308, Dallas, TX 75243 | 2017-02-13 |
| 1881130946 | Proniles | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Dr, Dallas, TX 75243 | 2017-01-13 |
| 1194273664 | Osman W Awdallah | Non-emergency Medical Transport (VAN) | 12611 Hornbeam Drive, Dallas, TX 75243 | 2016-09-14 |
| Find all providers in zip 75243 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476183 | Texas Saas Pa | Dentist | 3839 Mckinney Ave Ste 130, Dallas, TX 75204-1489 | 2020-10-26 |
| 1619589629 | Bahar Iranmehr | Dentist | 17390 Preston Rd Ste 242, Dallas, TX 75252-5781 | 2020-08-20 |
| 1598377657 | John Arthur Bounds IIi | Dentist | 4500 S Lancaster Rd # 160, Dallas, TX 75216-7167 | 2020-08-20 |
| 1023628633 | Allison Yost | Dentist | 6401 E Northwest Hwy Ste 100, Dallas, TX 75231-8007 | 2020-08-07 |
| 1669082905 | Jacob Hornberger | Dentist | 6500 E Mockingbird Ln Ste 115, Dallas, TX 75214-2483 | 2020-08-02 |
| 1346862117 | Cyprian Chibuzor Okobi Jr. | Dentist | 4646 Amesbury Dr Apt 514, Dallas, TX 75206-4896 | 2020-05-14 |
| 1316577463 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 5225 Belt Line Rd Ste 222, Dallas, TX 75254-1436 | 2020-01-16 |
| 1598312589 | Laura Gabriela Choque | Dentist | 9030 Southwestern Blvd Apt 3225, Dallas, TX 75214-1542 | 2019-08-23 |
| 1326694894 | Blake Collier Burnstad | Dentist | 7013 Kenwell St, Dallas, TX 75209-4840 | 2019-08-12 |
| 1538713011 | Preston Rsvi Pllc | Dentist | 13536 Preston Rd Ste 108, Dallas, TX 75240-5227 | 2019-08-01 |
| Find all providers in DALLAS | ||||
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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.