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Mrs. Knieeka Shanell Jake-Pacheco

Dentist Orthodontists

3111 S Texas Ave
Bryan , Texas 77802

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Mrs. Knieeka Shanell Jake-Pacheco

Dentist Orthodontists

3111 S Texas Ave
Bryan , Texas 77802

(979) 446-0270

Write a Review Save Call

Mrs. Knieeka Shanell Jake-Pacheco

Dentist Orthodontists

3111 S Texas Ave
Bryan , Texas 77802

(979) 446-0270 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dentist
  • Orthodontists

Languages spoken

  • English

Location

3111 S Texas Ave Bryan , Texas 77802

First Address

  • Mrs. Knieeka Shanell Jake-Pacheco
  • 3111 S Texas Ave
  • Bryan, TX
  • Zip : 77802-3124
  • Phone : (979) 446-0270

Second Address

  • Mrs. Knieeka Shanell Jake-Pacheco
  • 3111 S Texas Ave
  • Bryan, TX
  • Zip : 77802
  • Fax : (979) 775-7641
  • Phone : (979) 446-0270

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FAQs


Where did Mrs. Knieeka Shanell Jake-Pacheco attend graduate school?

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Where did Mrs. Knieeka Shanell Jake-Pacheco do her residency?

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Where did Mrs. Knieeka Shanell Jake-Pacheco do her fellowship?

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Is Mrs. Knieeka Shanell Jake-Pacheco board certified?

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What type of doctor is Mrs. Knieeka Shanell Jake-Pacheco

Orthodontists

In what state does Mrs. Knieeka Shanell Jake-Pacheco practice in?

Texas

Where is Mrs. Knieeka Shanell Jake-Pacheco ’s practice located?

3111 S Texas Ave , Bryan, Texas, 77802

What is Mrs. Knieeka Shanell Jake-Pacheco ’s gender?

Female

Is Mrs. Knieeka Shanell Jake-Pacheco a sole practitioner?

No

Is Mrs. Knieeka Shanell Jake-Pacheco accepting new patients?

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What languages does Mrs. Knieeka Shanell Jake-Pacheco speak?

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Does Mrs. Knieeka Shanell Jake-Pacheco accept insurance?

Yes, Mrs. Knieeka Shanell Jake-Pacheco accepts insurance

Does Mrs. Knieeka Shanell Jake-Pacheco offers telemedicine?

Mrs. Knieeka Shanell Jake-Pacheco has not indicated if she offers telemedicine

What is Mrs. Knieeka Shanell Jake-Pacheco ’s professional license number?

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What is Mrs. Knieeka Shanell Jake-Pacheco ’s NPI number?

1063645745

Does Mrs. Knieeka Shanell Jake-Pacheco have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 122300000X Dentist 200916780 MO
N 122300000X Dentist 62350 CA
Y 1223X0400X Orthodontists 29374 TX

National Provider Identifier

NPI 1063645745
Provider Name Mrs. Knieeka Shanell Jake-Pacheco
First Address Bryan, TX 77802-3124
Second Address Bryan, TX 77802
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 28/08/2009
Last Update Date 28/08/2018

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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