P Praxis·MD
● Active Type 1 · Individual

Lisa Susan Jacob, D.D.S.

Dentist·Kyle, TX· NPI 1386688331 · Enumerated 2006 · 19 years on NPI
Jacob is 1 of 6 dentist providers in Kyle and 1 of 1797 in Texas.
NPI age
19 years
Enumerated 2006-06-16
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1797 active dentist providers in Texas.

NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
2
In the 25% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
2810 Dacy Ln
Kyle, TX 786406322
📞 2102337000fax 5122682253
Mailing address
1301 Barbara Jordan Blvd Ste 301
Austin, TX 787233078
📞 5123249999fax 5123240645

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1301 Barbara Jordan Blvd, Suite 307
Austin, TX 787233077
📞 5123249999 x87141fax 5123240645

Specialties

  • Dentist Primary
    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.
    TX license #19077 taxonomy 1223P0221X
  • 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...
    TX license #19077 taxonomy 122300000X
  • Dentist
    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
    TX license #19077 taxonomy 1223S0112X

Practice context

Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.

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How to verify this provider

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

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