DR. RONALD JACOBSON (NPI# 1821120122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821120122 |
| Entity Type | Individual |
| Full Name | DR. RONALD JACOBSON |
| Credential | D.D.S., M.S. |
| Practice Address |
4200 W Peterson Ave Suite 116 Chicago IL 60646-6074 |
| Practice Telephone | 7735455333 |
| Practice Fax Number | 7735453636 |
| Mailing Telephone | 7735455333 |
| Mailing Fax Number | 7735453636 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
021001468 | IL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | LICENSE NUMBER | 01901183 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356547350 | Ronald Jay Jacobson | Registered Nurse | 10407 Airport Road, Everett, WA 98204 | 2007-06-26 |
| 1861669368 | Ronald S Jacobson | Optometrist | 1150 Bunker Hill Rd, Suite A, Houston, TX 77055-6208 | 2008-05-13 |
| 1164519120 | Ronald Irwin Jacobson | Psychiatry & Neurology | 755 North Broadway, Medical Services Building Suite 540, Sleepy Hollow, NY 10591 | 2006-10-09 |
| 1083640916 | Ronald Jacobson | Emergency Medicine | 300 Pinellas St, Clearwater, FL 33756-3804 | 2006-06-23 |
| 1063465870 | Ronald Stewart Jacobson | Psychologist | 2580 Potters Rd, Virginia Beach, VA 23454-4324 | 2006-05-19 |
| 1487612123 | Ronald Eugene Jacobson | Physical Therapist | 1431 Premiere Dr, Mankato, MN 56001-6076 | 2006-05-03 |
| Street Address |
4200 W PETERSON AVE SUITE 116 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60646-6074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470217 | Michael A. Krell | Dentist | 4200 W Peterson Ave, Suite 128, Chicago, IL 60646-6074 | 2005-07-08 |
| 1336502434 | Mark Jiaras Ltd | Community/Behavioral Health | 4200 W Peterson Ave, Suite 105, Chicago, IL 60646-6074 | 2016-04-05 |
| 1366748329 | Danielle N Keller | Audiologist | 4200 W Peterson Ave, Suite 100, Chicago, IL 60646-6074 | 2011-02-08 |
| 1508006313 | Jacobson Orthodontic Associates, Ltd | Dentist | 4200 W Peterson Ave, Suite 116, Chicago, IL 60646-6074 | 2009-03-06 |
| 1871756767 | Irene T. Theodore | Dentist | 4200 W Peterson Ave, Suite 136, Chicago, IL 60646-6074 | 2008-07-09 |
| 1558528646 | Rachelle Hasson Miller | Psychiatry & Neurology | 4200 W Peterson Ave, Suite 105, Chicago, IL 60646-6074 | 2008-05-18 |
| 1396912499 | Tundi M Frank | Dentist | 4200 W Peterson Ave, Suite 114, Chicago, IL 60646-6074 | 2008-05-08 |
| 1881812550 | Bailey Norman Jacobson | Dentist | 4200 W Peterson Ave, Suite 116, Chicago, IL 60646-6074 | 2007-04-20 |
| 1811026669 | Krell-reuben Oral Surgery Ltd. | Dentist | 4200 W Peterson Ave, Suite 128, Chicago, IL 60646-6074 | 2007-03-05 |
| 1417095530 | Sauganash Center for Dental Health Ltd | Dentist | 4200 W Peterson Ave, Suite 114, Chicago, IL 60646-6052 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801312087 | Manal Ibrahim | Dentist | 6228 N Keystone Ave, Chicago, IL 60646 | 2017-08-18 |
| 1750820742 | Kaitlin O'brien | Student in an Organized Health Care Education/Training Program | 5801 N Pulaski, Chicago, IL 60646 | 2017-02-23 |
| 1659810646 | Sofia Trani | Student in an Organized Health Care Education/Training Program | 5801 N. Pulaski Rd, Chicago, IL 60646 | 2017-02-23 |
| 1487191151 | Ronald E. Rysztogi | Naprapath | 5704 N. Austin, Chicago, IL 60646 | 2017-01-19 |
| 1417403148 | Joyful Dental Care | Clinic/Center | 6314 N. Cicero Avenue, Chicago, IL 60646 | 2016-09-01 |
| 1164889754 | Physicians At Call | Family Medicine | 5901 N. Cicero Ave, Ste 207, Chicago, IL 60646 | 2016-01-27 |
| 1245610617 | Arlett Payne | Physician Assistant | 5906 N Milwaukee, Chicago, IL 60646 | 2015-06-01 |
| 1811375843 | North River Mental Health Center | Community/Behavioral Health | 5801 North Pulaski Road, Chicago, IL 60646 | 2015-05-11 |
| 1003157298 | Family Choice Home Health | Homemaker | 5933 N Milwaukee Avenue, Chicago, IL 60646 | 2013-03-13 |
| 1235479593 | Antonina Skapars Trinkuns | Psychiatry & Neurology | 6404 N. Tahoma Ave., Chicago, IL 60646 | 2013-02-25 |
| Find all providers in zip 60646 | ||||
| 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 |
|---|---|---|---|---|
| 1427670421 | Braces By Barnes | Dentist | 1335 E 87th St Ste B, Chicago, IL 60619-7036 | 2020-05-12 |
| 1922645308 | Riddhi J Desai Dmd Pllc | Dentist | 727 W Madison St Apt 1208, Chicago, IL 60661-2409 | 2019-12-04 |
| 1346806577 | Pulaski Smiling Dental P.C. | Dentist | 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 | 2019-05-13 |
| 1750944252 | Candid Illinois, Pllc | Dentist | 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 | 2019-04-19 |
| 1407314610 | Orthodontic Experts Ltd | Dentist | 3339 W Belmont Ave, Chicago, IL 60618-5518 | 2019-03-06 |
| 1669938387 | Theresa Karras | Dentist | 11 E Cedar St, Floor 2, Chicago, IL 60611-6066 | 2019-02-19 |
| 1396235651 | Love My Smile Chicago, LLC | Dentist | 2112 N Clybourn Ave Unit B, Chicago, IL 60614-0800 | 2018-05-12 |
| 1013414655 | Flavio Jose Castelli Sanchez | Dentist | 801 S Paulina St Rm 131, Chicago, IL 60612-7210 | 2018-04-10 |
| 1437659570 | John C Ford | Dentist | 225 E Chicago Ave # 75, Chicago, IL 60611-2991 | 2018-02-15 |
| 1437657582 | Orthodontic Experts | Dentist | 1654 W North Ave, Chicago, IL 60622-2255 | 2018-01-24 |
| Find all providers in CHICAGO | ||||
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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.