Tyler J Jacques PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

DEN1001691 Issued in DC

Legal business name

TYLER J JACQUES PLLC

Practice address

335 C St SE
Washington, DC 20003-2002

Phone

(989) 980-2807

NPI assigned

Jun 14, 2017

Organization subpart

No

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

Authorized official

Name

Tyler J JacquesNPI 1720369606

Title

Registered Agent

Phone

(989) 980-2807

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Capitol Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyler James Jacques, D.M.D.

  • General Practice Dentistry
  • Washington, DC
  • NPI 1720369606
  NPD (past) Authorized official

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505692800000",
    "number": "1891225603",
    "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": "20003",
            "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": "989-980-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER J JACQUES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-09-18",
        "status": "A",
        "authorized_official_last_name": "JACQUES",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "989-980-2807"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN1001691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1720369606",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capitol Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capitol Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexa Danielle Tydings
• Caitlin Tydings
• Nefertiti Tyehemba, MD
• Aisha Tyehimba, LGPC
• Tanikia Deshawn Tyer
• Khandra Yane' Tyler-Beynum, MD
• Azzera Tyler
• Bobbi Delon Tyler
• Brenee Tyler
• Erica Tyler

• Dentist in Washington, DC
• Providers in Washington, DC by specialty
• Dentist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; 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.