NPIMap

Organization Active NPI

Orchid Family Dental

Doing business as Tiffany Jacob DDS PLLC

  • Dentist
  • Richardson, TX
National Provider Identifier
1811385891
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24547 Issued in TX
Legal business name
ORCHID FAMILY DENTAL
Doing business as
Tiffany Jacob DDS PLLC
Practice address
3555 Murphy Rd
Suite 103
Richardson, TX 75082-5215
Phone
(972) 424-3555
NPI assigned
Dec 29, 2014
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Dr. Tiffany Tresa Jacob, DDSNPI 1285869859
Title
President
Phone
(972) 424-3555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24547 TX Primary

Addresses

Primary practice location

3555 Murphy Rd
Suite 103
Richardson, TX 75082-5215

Mailing address

3555 Murphy Rd
Suite 103
Richardson, TX 75082-5215
Phone (972) 424-3555

Other names 1

  • Tiffany Jacob DDS PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

3555 Murphy Rd
Ste 103
Richardson, TX 75082
Phone (972) 424-3555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1811385891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 MURPHY RD",
            "address_2": "SUITE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750825215",
            "telephone_number": "972-424-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 MURPHY RD",
            "address_2": "SUITE 103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750825215",
            "telephone_number": "972-424-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "JACOB",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "TRESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-424-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany Jacob DDS PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.