Jessie Pruett Jacobs, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

13193 Issued in MO

Practice address

10651 E St
Attn: Maria a. Villagomez
Corpus Christi, TX 78419-5130

Phone

(361) 961-4311

Fax

(361) 961-2529

NPI assigned

Feb 13, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jesse Pruett Jacobs III Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235102831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 E ST",
            "address_2": "ATTN: MARIA A. VILLAGOMEZ",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784195130",
            "telephone_number": "361-961-4311",
            "fax_number": "361-961-2529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10651 E ST",
            "address_2": "ATTN: MARIA A. VILLAGOMEZ",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784195130",
            "telephone_number": "361-961-4311",
            "fax_number": "361-961-2529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JESSIE",
        "middle_name": "PRUETT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "13193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "JACOBS",
            "middle_name": "PRUETT",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phillip Jackson, M.D.
• Taylor Catherine Jackson
• Jacob J Moore MD PA (Coastal Bend Eye Center)
• Jacob M Thompson DDS PC
• Nikhita Susan Jacob
• Jacquelyn F. Cole, DC, PC (Cole Chiropractic Clinic)
• Julie Brianne Jacquez
• Lauren Jaekle
• Sonam Jaggi, MD
• Rajesh Jaglal, DMD

• Dentist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.