Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386688331 Individual Practitioner Female Practitioner

Dr. Lisa Susan Jacob , DDS

Dentist - Pediatric Dentistry • Kyle, TX

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Jacob, DDS is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Kyle, TX. Practice services are available at 2810 DACY LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2810 Dacy Ln

Kyle, TX 786406322

Telephone 2102337000
Fax 5122682253
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Kyle, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Kyle, TX (1046 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

CMS Verified: 2025-09-11
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License TX 19077

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 19077

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 degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License TX 19077

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.

Secondary Practice Locations

1301 Barbara Jordan Blvd, Suite 307

Austin, TX 787233077

Phone: 5123249999

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Vijay Sinha , MD

Student in an Organized Health Care Education/Training Program

NPI 1003558081

Doctor of Medicine (M.D.)

Katherine Santovena , MSN, WHNP-BC, C-EFM

Nurse Practitioner - Women's Health

NPI 1003593575

Master of Science in Nursing, Women's Health Nurse Practitioner (Board Certified), CEFM

NPI 1003903014

Licensed Professional Counselor

Dr. Christina Meiners , DDS

Dentist - General Practice

NPI 1033420856

Doctor of Dental Surgery

Adrienne Lopez , NP

Nurse Practitioner - Family

NPI 1033677414

Nurse Practitioner

Dr. Lliliam Castellanos-Castro , DDS

Dentist - General Practice

NPI 1053804476

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 11, 2025

Registered at 2810 DACY LN, KYLE, TX 786406322 (Tel: 2102337000)

📍
Updated Business Mailing Address September 11, 2025

Registered at 1301 BARBARA JORDAN BLVD STE 301, AUSTIN, TX 787233078 (Tel: 5123249999)

NPI Profile Active December 11, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location December 11, 2009

Registered at 1301 BARBARA JORDAN BLVD, SUITE 307, AUSTIN, TX 787233077 (Tel: 5123249999)

📍
Updated Business Mailing Address December 11, 2009

Registered at 1301 BARBARA JORDAN BLVD, SUITE 301, AUSTIN, TX 787233077 (Tel: 5123249999)

👤
Provider Name / Credentials Updated December 11, 2009

Recorded as LISA JACOB, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2009

Dentist (License #19077 in TX)

🟢
Initial NPI Registration & Enumeration June 16, 2006

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: 1386688331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2006
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

1301 Barbara Jordan Blvd Ste 301

Austin, TX 787233078

Phone: 5123249999

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.