Individual provider Active NPI

Danielle Zoya Jaul, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Tyler, TX
National Provider Identifier
1821518945
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
33791 Issued in TX
Practice address
805 Turtle Creek Dr
Tyler, TX 75701-1937
Phone
(903) 592-1664
Fax
(903) 592-1789
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 33791 TX
Dentist 122300000X 103323 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 062236 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 103323 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 33791 TX Primary

Addresses

Primary practice location

805 Turtle Creek Dr
Tyler, TX 75701-1937

Mailing address

805 Turtle Creek Dr
Tyler, TX 75701-1937
Phone (903) 592-1664

Other practice location 1

6 Doctor Cir
Longview, TX 75605-5050
Phone (903) 592-1664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240716002768 TX Practitioner - Oral Surgery 3375088180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tyler Oral and Facial Surgery IncGroup PAC ID 0446272306, 5 clinicians

Practice addresses (Care Compare)

6 Doctor Cir
Longview, TX 75605-5050
Phone (903) 592-1664

805 Turtle Creek Dr
Tyler, TX 75701-1937
Phone (903) 592-1664

Hospital & facility affiliations

  • Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
062236NYMDOral and Maxillofacial Surgery (Dentist)
33791TXMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Apr 1, 2025 Accepting new patients
Turtle Creek Surgery Center, LLC Current Accepting new patients
Etmc Physician Group Inc. CurrentSince Apr 1, 2025 Accepting new patients
Tyler Oral & Facial Surgery Inc. Oral and Maxillofacial Surgery CurrentSince Jun 21, 2024 Accepting new patients
Turtle Creek Surgery Center LLC PastSince Jun 21, 2024 Accepting new patients
Briargrove Smiles Dentistry, PC Past Accepting new patients

Locations

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

6 Doctor Cir
Longview, TX 75605
Phone (903) 592-1664

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

805 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 592-1664

Interoperability endpoints

  • Direct secure messaging: djaul782965@ahs.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1821518945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011937",
            "telephone_number": "903-592-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011937",
            "telephone_number": "903-592-1664",
            "fax_number": "903-592-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Doctor Cir",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756055050",
            "country_code": "US",
            "telephone_number": "903-592-1664",
            "fax_number": "903-525-1096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAUL",
        "first_name": "DANIELLE",
        "middle_name": "ZOYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "33791",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103323",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "062236",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "103323",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "33791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.