● Active Type 1 · Individual

MRS. Knieeka Shanell Jake-Pacheco, DMD

Dentist·Bryan, TX· NPI 1063645745 · Enumerated 2009 · 16 years on NPI

Jake-Pacheco is 1 of 7 dentist providers in Bryan and 1 of 1850 in Texas.

NPI age

16 years

Enumerated 2009-08-28

Primary specialty

Dentist

Plus 2 subspecialties

Licensed in

TX, CA, MO

3 states

Status

Active

No deactivations on record

Last NPPES update

2018-08-28

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 1850 active dentist providers in Texas.

NPI age

16 years

≈ at median (15 yr)

State licenses

3 states

Top 92% — 7% of peers are multi-state

Subspecialties

In the 16% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-08Enumerated in NPPES

2009 2026

Where they practice

Practice location

3111 S Texas Ave

Bryan, TX 77802

📞 9794460270fax 9797757641

Mailing address

3111 S Texas Ave

Bryan, TX 778023124

📞 9794460270

Additional practice locations

1 secondary location on file with NPPES.

Location 2

32909 Temecula Pkwy, #102

Temecula, CA 925926918

📞 9519728080

Specialties

Dental Providers › Dentist

Dentist Primary

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...

TX license #29374 taxonomy 1223X0400X
Dentist

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...

CA license #62350MO license #200916780 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
Check the state license is currently active.State licensing boards publish current status; NPPES does not.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.