LISA SUSAN JACOB D.D.S.
NPI 1386688331
Dentist - Pediatric Dentistry in Austin, TX
NPI Status: Active since June 16, 2006
Contact Information
1301 BARBARA JORDAN BLVD
SUITE 307
AUSTIN, TX
ZIP 78723
Phone: (512) 324-9999
Fax: (512) 324-0645
- Individual
- Female
- Dentist
- Pediatric Dentistry
- Accepts Insurance
- PECOS Enrolled
About LISA JACOB
This page provides the complete NPI Profile along with additional information for Lisa Jacob, a provider established in Austin, Texas with a medical specialization in Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1386688331 assigned on June 2006. The practitioner's primary taxonomy code is 1223P0221X with license number 19077 (TX). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1386688331
- Provider Name
- LISA SUSAN JACOB D.D.S.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1301 BARBARA JORDAN BLVD SUITE 307 AUSTIN, TX 78723
- Location Phone
- (512) 324-9999
- Location Fax
- (512) 324-0645
- Mailing Address
- 1301 BARBARA JORDAN BLVD SUITE 301 AUSTIN, TX 78723
- Mailing Phone
- (512) 324-9999
- Mailing Fax
- (512) 324-0645
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-16-2006
- Last Update Date
- 12-11-2009
- Code Navigator
A dentist like Lisa Jacob is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- 19077
- License State
- TX
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 122300000X | Dental Providers | Dentist | 19077 (TX) |
| 2 | 1223S0112X | Dental Providers | Dentist | 19077 (TX) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Essential 6500 HSA (+ Incentives) - HMO
- Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Essential 9200 (+ Incentives) - HMO
- Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) - HMO
- Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - EPO
- Anthem Bronze Pathway 9200 (+ Incentives) - EPO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- BlueCare Dental? 1D - PPO
- BlueCare Dental 1D - PPO
- BlueCare Dental 4 Kids? 1A - PPO
- BlueCare Dental 4 Kids? 1B - PPO
- BlueCare Dental? 1A - PPO
- BlueCare Dental? 1B - PPO
- BlueCare Dental? 1C - PPO
- Guardian Basics for Families and Individuals - PPO
- Guardian Choice for Families and Individuals - PPO
- Guardian Essentials for Families and Individuals - PPO
- Guardian Preventive Plus for Families and Individuals - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lisa Jacob is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78723 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.03
- Minimum New Patient Price $57.88
- Maximum New Patient Price $174
- Average New Patient Copayment $22.25
- Minimum New Patient Copayment $14.47
- Maximum New Patient Copayment $43.5
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $71.95
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.23
- Average Established Patient Copayment $17.98
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.55
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for LISA SUSAN JACOB D.D.S.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 8 | 6 | 6 | 8 | 8 | 3 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 16 | 6 | 12 | 8 | 16 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 6 + 6 + 1 + 2 + 8 + 1 + 6 + 3 + 6 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1386688331 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063415446 | MARK B SMITH MD Individual | Surgery | 1301 BARBARA JORDAN BLVD SUITE 400 SAN ANTONIO, TX 78723 (512) 708-1234 |
| 1083617369 | JEFFREY R HORWITZ MD Individual | Surgery | 1301 BARBARA JORDAN BLVD SUITE 400 AUSTIN, TX 78723 (512) 708-1234 |
| 1225030489 | AMANDA RAMOS HODGE MSN, APN, CPNP Individual | Nurse Practitioner (Pediatrics) | 1301 BARBARA JORDAN BLVD #302 AUSTIN, TX 78723 (512) 472-6134 |
| 1083606289 | MICHAEL D JOSEPHS MD Individual | Surgery | 1301 BARBARA JORDAN BLVD SUITE 400 AUSTIN, TX 78723 (512) 708-1234 |
| 1144294661 | CENTRAL TEXAS PEDIATRIC ORTHOPEDICS AND SCOLIOSIS SURGERY PA Organization | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 1301 BARBARA JORDAN BLVD SUITE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1407815533 | NILDA M GARCIA MD Individual | Surgery | 1301 BARBARA JORDAN BLVD SUITE 400 AUSTIN, TX 78723 (512) 708-1234 |
| 1871550772 | DR. DAVE F CLARKE MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 1301 BARBARA JORDAN BLVD SUITE #200 AUSTIN, TX 78723 (512) 628-1850 |
| 1326140195 | HOWARD MAX ROSENBLATT M.D. Individual | Allergy & Immunology | 1301 BARBARA JORDAN BLVD #200 AUSTIN, TX 78723 (512) 628-1870 |
| 1760566897 | DAUGHTERS OF CHARITY HLTH SRVS OF AUSTIN Organization | Pharmacy (Compounding Pharmacy) | 1301 BARBARA JORDAN BLVD STE 102 AUSTIN, TX 78723 (512) 324-0903 |
| 1003945411 | ERICH J GRETHEL MD Individual | Surgery | 1301 BARBARA JORDAN BLVD SUITE 400 AUSTIN, TX 78723 (512) 708-1234 |
| 1104041854 | MICHELLE RARITY POOLE RN, CNP Individual | Nurse Practitioner (Pediatrics) | 1301 BARBARA JORDAN BLVD SUITE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1184840886 | ANKUR R RANA M.D. Individual | Surgery | 1301 BARBARA JORDAN BLVD SUITE 400 AUSTIN, TX 78723 (512) 708-1234 |
| 1790995397 | MS. PAMELA DIXON NP-C Individual | Nurse Practitioner (Family) | 1301 BARBARA JORDAN BLVD SUITE 200 AUSTIN, TX 78723 (512) 628-1830 |
| 1184807182 | KEVIN JAMES MCHORSE PT Individual | Physical Therapist (Pediatrics) | 1301 BARBARA JORDAN BLVD SUITE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1255507943 | DR. POOJA VARSHNEY M.D. Individual | Pediatrics (Pediatric Allergy/Immunology) | 1301 BARBARA JORDAN BLVD SUITE 200 AUSTIN, TX 78723 (512) 628-1932 |
| 1629203476 | BRIANNA BURG CPNP Individual | Nurse Practitioner (Pediatrics) | 1301 BARBARA JORDAN BLVD SUITE 400 AUSTIN, TX 78723 (512) 708-1234 |
| 1861706418 | BRIAN TIMOTHY KRATZ PT Individual | Physical Therapist (Pediatrics) | 1301 BARBARA JORDAN BLVD SUITE 300 AUSTIN, TX 78723 (512) 478-8116 |
| 1982995064 | SETON FAMILY OF PEDIATRIC SURGEONS Organization | Surgery (Pediatric Surgery) | 1301 BARBARA JORDAN BLVD SUITE 400 AUSTIN, TX 78723 (512) 708-1234 |
| 1174801138 | MRS. SHANNON BLACKSTOCK RN, CPNP Individual | Nurse Practitioner (Pediatrics) | 1301 BARBARA JORDAN BLVD SUITE 200 AUSTIN, TX 78723 (512) 628-1850 |
| 1871849232 | KATHERINE M. STRAIGHT RN, CPNP Individual | Nurse Practitioner (Pediatrics) | 1301 BARBARA JORDAN BLVD SUITE 304 AUSTIN, TX 78723 (512) 454-1110 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386688331, enumerated in the NPI registry as an "individual" on June 16, 2006
The provider is located at 1301 Barbara Jordan Blvd Suite 307 Austin, Tx 78723 and the phone number is (512) 324-9999
The provider's speciality is Dentist with taxonomy code 1223P0221X with a focus in Pediatric Dentistry
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $89.03 with an average copayment of $22.25 for new patient appointments. Established patients should expect a typical charge of $71.95 and an average copayment of 17.98. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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