DR. BRIAN LEWIS JAQUES DMD
NPI 1023458379
Dentist - General Practice in Seminole, FL

Q: What is Brian Jaques's NPI number?

The NPI number for Brian Jaques is 1023458379. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Q: What is Brian Jaques's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Brian Jaques was last updated on May 10, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 01, 2013PECOS Enrolled

9200 113TH ST, SEMINOLE, FL 33772(727) 394-6905 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Brian Lewis Jaques Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN LEWIS JAQUES DMD (NPI 1023458379) is an individual general practice provider in Seminole, Florida, licensed in South Carolina (8370) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023458379

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. BRIAN LEWIS JAQUESCredential: DMD

Location Address9200 113TH STSeminole, FL 33772-2800

Mailing AddressPo Box 1317Moncks Corner, SC 29461-1317 · (843) 899-5911 · Fax (843) 899-5968

Phone(727) 394-6905

Sole ProprietorYes

Enumeration DateJuly 1, 2013

Last NPPES UpdateMay 10, 2016

✔ NPI 1023458379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in SC · 8370

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

9200 113TH ST, Seminole, FL 33772

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Brian Lewis Jaques Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OMAR ELRABI

Student in an Organized Health Care Education/Training Program