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Deactivated NPI 1205075892 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Kevin Jacobs , DC

Chiropractor • Waterford, MI

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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. Daniel Jacobs has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 05, 2009
NPI Deactivation Date June 04, 2026
Total Practice Duration ~17 Years of Practice (2009 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Jacobs, DC was a registered Chiropractor practicing in Waterford, MI. Throughout an active medical career spanning 17 years, Dr. Jacobs provided care at the practice location at 2045 DIXIE HWY until profile deactivation on 2026-06-04.

Practice Location & Contact Primary Location

Practice Address

2045 Dixie Hwy

Waterford, MI 483281805

Telephone 2487054635

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Waterford, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.6 Yrs
State Avg: 22.9 Yrs
Regional Practice Density
27 Specialists

Practicing in Waterford, MI (3252 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License MI 2301005139

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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 June 04, 2026

Record deactivated on June 04, 2026

NPI Profile Active February 05, 2009

NPI status registered as active in NPPES database

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Updated Practice Location February 05, 2009

Registered at 2045 DIXIE HWY, WATERFORD, MI 483281805 (Tel: 2487054635)

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Updated Business Mailing Address February 05, 2009

Registered at 31180 N PARK DR, FARMINGTON HILLS, MI 483311450 (Tel: 2487054635)

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Provider Name / Credentials Updated February 05, 2009

Recorded as DANIEL JACOBS, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2009

Chiropractor (License #2301005139 in MI)

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Initial NPI Registration & Enumeration February 05, 2009

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: 1205075892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2009
Last Update: February 05, 2009
Deactivation Date: June 04, 2026

Mailing Address

31180 N Park Dr

Farmington Hills, MI 483311450

Phone: 2487054635

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.