P Praxis·MD
● Active Type 1 · Individual

Jess Jordan Cayetano, DDS

Dentist·Jbsa Lackland, TX· NPI 1437893005 · Enumerated 2022 · 4 years on NPI
Cayetano is 1 of 40 dentist providers in Jbsa Lackland and 1 of 9237 in Texas.
NPI age
4 years
Enumerated 2022-04-20
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
WA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-08-07
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 9237 active dentist providers in Texas.

NPI age
4 years
↓ 8 yr below median (12 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
2
In the 16% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-04Enumerated in NPPES
2022 2026

Where they practice

Practice location
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102920690
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 782365638
📞 2102920690

Specialties

  • Dentist Primary
    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...
    WA license #DE6132122 taxonomy 122300000X
  • Dentist
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    WA license #DE61302122 taxonomy 1223G0001X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    WA license #DE61302122 taxonomy 390200000X

Practice context

Part of a multi-provider practice. 307 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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