Active NPI
Jade Sierra Mallett, DDS
- General Practice Dentistry
- Wylie, TX
National Provider Identifier
1417438797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35106
- Practice address
- 2014 S State Hwy 78
Suite 150
Wylie, TX 75098 - Phone
- (972) 474-3849
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 35106 | TX | Primary |
Addresses
Primary practice location
2014 S State Hwy 78
Suite 150
Wylie, TX 75098
Mailing address
2014 South State Highway 78
Suite 150
Wylie, TX 75098
Phone (972) 474-3849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35106 | TX | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1417438797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 SOUTH STATE HIGHWAY 78",
"address_2": "SUITE 150",
"city": "WYLIE",
"state": "TX",
"postal_code": "75098",
"telephone_number": "972-474-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 S STATE HWY 78",
"address_2": "SUITE 150",
"city": "WYLIE",
"state": "TX",
"postal_code": "75098",
"telephone_number": "972-474-3849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLETT",
"first_name": "JADE",
"middle_name": "SIERRA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2025-05-21",
"certification_date": "2025-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "35106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.