Tyler James Jacques, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN1001691 Issued in DC

Practice address

335 C St SE
Washington, DC 20003-2002

Phone

(202) 543-0700

NPI assigned

Sep 6, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Tyler J Jacques PLLC

  • Dentist
  • Washington, DC
  • NPI 1891225603
  NPD (past) Authorized official

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720369606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 C ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032002",
            "telephone_number": "202-543-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 C ST SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200032002",
            "telephone_number": "202-543-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1553 Alabama Ave SE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200325054",
            "country_code": "US",
            "telephone_number": "202-610-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1001691",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019028847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORGANIZATIONAL NPI",
            "identifier": "1891225603",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea C Jacobson-Juarez, DPT
• Anna M Jacobson, APRN
• Howard John Jacobson, M.D.
• Thomas Alan Jacobson, PA-C
• Diane Moira Jacobstein, MD
• Naike Christelle Jacquet, PNP
• Cyril Jacquot, M.D./PH.D.
• Taneisha Jacson, FNP-BC
• Jade Clinical Services
• Samantha Jade

• General Practice Dentistry in Washington, DC
• Providers in Washington, DC by specialty
• General Practice Dentistry in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.