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Deactivated NPI 1053307678 Deactivated / Inactive NPI Male Practitioner

Dr. Robert W. Jacobs , DDS

Dentist - Pediatric Dentistry • Lawrence, KS

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2005
NPI Deactivation Date April 23, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Jacobs, DDS was a registered Dentist - Pediatric Dentistry practicing in Lawrence, KS. Throughout an active medical career spanning 21 years, Dr. Jacobs provided care at the practice location at 346 MAINE ST until profile deactivation on 2026-04-23.

Practice Location & Contact Primary Location

Practice Address

346 Maine St

Lawrence, KS 660441359

Telephone 7858429223
Fax 7858424335
Associated Practice Facility / Clinic
🏢 General Surgery Pa Facility NPI 1629075049

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Lawrence, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Lawrence, KS (60 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License KS 4845

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Barbara Schupp , DDS

Dentist - Pediatric Dentistry

NPI 1023244894

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 23, 2026

Record deactivated on April 23, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 346 MAINE ST, LAWRENCE, KS 660441359 (Tel: 7858429223)

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Updated Business Mailing Address July 08, 2007

Registered at 2232 VERMONT ST, LAWRENCE, KS 660463066 (Tel: 7858410762)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT JACOBS, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #4845 in KS)

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Initial NPI Registration & Enumeration September 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053307678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2005
Last Update: July 08, 2007
Deactivation Date: April 23, 2026

Mailing Address

2232 Vermont St

Lawrence, KS 660463066

Phone: 7858410762

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.