IndividualActive
Lisa Jacob, D.D.S.
NPI 1386688331 · Pediatric Dentistry · Kyle, TX
Provider details
- NPI number
- 1386688331
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.D.S.
- Sex
- Female
- Sole proprietor
- No
- License
- 19077 (TX)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2810 Dacy Ln
Kyle, TX 78640-6322
Phone: (210) 233-7000
Fax: (512) 268-2253
Street-level locationGet directions
Mailing address
1301 Barbara Jordan Blvd Ste 301
Austin, TX 78723-3078
Additional practice locations (1)
- 1301 Barbara Jordan BlvdSuite 307Austin, TX 78723-3077Phone: (512) 324-9999Fax: (512) 324-0645
Registry dates
- Enumerated
- 2006-06-16
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.