Tiffany Tresa Jacob, B.S., D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24547 Issued in TX

Practice address

3555 Murphy Rd
#103
Richardson, TX 75082-5215

Phone

(972) 424-3555

Fax

(972) 905-7414

NPI assigned

May 26, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

Practice roles

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.

• Orchid Family Dental

  • Dentist
  • Richardson, TX
  • NPI 1811385891
  NPD (past) Authorized official

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1285869859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 MURPHY RD",
            "address_2": "#103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750825215",
            "telephone_number": "972-424-3555",
            "fax_number": "972-905-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 MURPHY RD",
            "address_2": "#103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750825215",
            "telephone_number": "972-424-3555",
            "fax_number": "972-905-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "TIFFANY",
        "middle_name": "TRESA",
        "name_prefix": "Dr.",
        "credential": "B.S., D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Jackson, COTA
• Tashawa Jackson
• Hanna Roshen Jacob
• Jessica Jacob, PHARMD
• Kathryn Leigh Jacob, M.S., CCC-SLP
• Mark R Jaffe, MD
• J. Lee Jagers, PHD
• Inaya Jahangir
• Faisal Riaz Jahangiri, CNIM
• Heather Jahn

• General Practice Dentistry in Richardson, TX
• Providers in Richardson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.