DR. TIMOTHY LEE JACOBS (NPI# 1609951458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609951458 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY LEE JACOBS |
| Credential | DDS |
| Practice Address |
2916 W Stolley Park Rd Suite B Grand Island NE 68801-6807 |
| Practice Telephone | 3083826660 |
| Practice Fax Number | 3083819809 |
| Mailing Telephone | 3083826660 |
| Mailing Fax Number | 3083819809 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5487 NE | NE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47070582700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835503 | Timothy Allen Jacobs | Counselor | 927 N Pennsylvania St, Indianapolis, IN 46204-1020 | 2019-08-07 |
| 1407293749 | Timothy Michael Jacobs | Licensed Psychiatric Technician | 1801 Vicente St, San Francisco, CA 94116-2923 | 2013-05-28 |
| 1518904200 | Timothy W Jacobs | Pathology | 1100 9th Ave, Virginia Mason Ctr., Pathology, Seattle, WA 98101-2756 | 2006-06-01 |
| 1063485191 | Timothy W. Jacobs | Family Medicine | 1025 Maine St, Quincy, IL 62301-4038 | 2006-02-09 |
| Street Address |
2916 W STOLLEY PARK RD SUITE B |
| City | GRAND ISLAND |
| State | NE |
| Zip Code | 68801-6807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598945511 | Christopher R Waters Dds PC | Dentist | 2916 W Stolley Park Rd, Grand Island, NE 68801 | 2007-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580380 | Ali Renee Meister | Massage Therapist | 114 W 3rd Street, Grand Island, NE 68801 | 2018-09-03 |
| 1033611587 | Austan Reid Pomajzl | Chiropractor | 3008 W Stolley Park Rd Suite 3, Grand Island, NE 68801 | 2018-03-01 |
| 1952849226 | Abby Kluna | Occupational Therapy Assistant | 4911 Baker Ave, Grand Island, NE 68801 | 2017-02-07 |
| 1194177386 | Elia Rivera | Counselor | 312 N Elm St Ste 112, Grand Island, NE 68801 | 2016-07-12 |
| 1710332101 | B & R Stores Inc | Pharmacy | 710 West State St, Grand Island, NE 68801 | 2016-05-04 |
| 1013332550 | Nathaniel Jones | Physical Therapy Assistant | 1405 West Highway 34, Grand Island, NE 68801 | 2014-02-20 |
| 1659455004 | Sarah Spellbrink | Counselor | 312 N Elm St Ste 115, Grand Island, NE 68801 | 2006-10-24 |
| 1356451439 | Dawn Gay Nahrstedt | Nurse Practitioner | 1300 S Locust, Ste A, Grand Island, NE 68801 | 2006-08-30 |
| 1306879275 | Bens Drug Store Inc | Pharmacy | 123 West Third, Grand Island, NE 68801 | 2006-07-07 |
| 1689631327 | Sandra Leigh Borden | Nurse Practitioner | 1300 S Locust St, Ste A, Grand Island, NE 68801 | 2006-04-27 |
| Find all providers in zip 68801 | ||||
| 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 |
|---|---|---|---|---|
| 1003182783 | Island View Dental P.C. | Dentist | 638 N. Webb Rd, Suite 1, Grand Island, NE 68803-4057 | 2012-03-28 |
| 1861773640 | Melissa D Schuldt | Dentist | 3327 W Capital Ave, Grand Island, NE 68803-1334 | 2011-09-07 |
| 1417237470 | Shailendra Singhal | Dentist | 206 Wilmar Ave Ste 4, Grand Island, NE 68803-3559 | 2011-08-23 |
| 1366738924 | Aldo Koentjoro | Dentist | 206 Wilmar Ave, Grand Island, NE 68803-3559 | 2011-06-22 |
| 1265665657 | Family First Dental Associates of West Point, P.C. | Dentist | 2504 N Webb Rd, Grand Island, NE 68803-1338 | 2009-09-01 |
| 1497934186 | Russell Peter Colosi | Dentist | 1348 East River Road, Grand Island, NY 14072-2743 | 2007-10-30 |
| 1366654626 | Leona K Janda | Dentist | 2009 West Faidley Ave, Grand Island, NE 68803-4644 | 2007-05-07 |
| 1164641429 | William Grant Hennigar Jr. | Dentist | 2025 Whitehaven Rd, Grand Island, NY 14072 | 2007-04-25 |
| 1780807404 | Shay P Mcgowan | Dentist | 2414 W Faidley Ave Ste 101, Grand Island, NE 68803-4326 | 2007-04-11 |
| 1184757809 | Gerald J Murphy | Dentist | 908 N Howard Ave Ste 101, Grand Island, NE 68803-3556 | 2007-03-13 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 68801 |
Please comment or provide details below to improve the information on DR. TIMOTHY LEE JACOBS.
| 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.