Individual provider Active NPI

Lorraine Vinitha Jacob, D.D.S.

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1225359003
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0025598 Issued in TX
Practice address
25900 Cinco Ranch Blvd
Katy, TX 77494-2988
Phone
(281) 347-1993
NPI assigned
Jun 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0025598 TX Primary

Addresses

Primary practice location

25900 Cinco Ranch Blvd
Katy, TX 77494-2988

Mailing address

25900 Cinco Ranch Blvd
Katy, TX 77494-2988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 8, 2016 through Apr 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0025598TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cinco Meadows Dental PLLC CurrentSince Nov 8, 2025 Accepting new patients
The Dentists at Grand Parkway, PLLC General Practice PastSince Jul 28, 2019 Accepting new patients
The Dentists at Grand Parkway General Practice Past Accepting new patients

Locations

25900 Cinco Ranch Blvd
Katy, TX 77494
Phone (281) 347-1993

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1225359003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25900 CINCO RANCH BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25900 CINCO RANCH BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942988",
            "telephone_number": "281-347-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "LORRAINE",
        "middle_name": "VINITHA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "0025598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.