MRS. KNIEEKA SHANELL JAKE-PACHECO DMD
NPI 1063645745
Dentist - Orthodontics and Dentofacial Orthopedics in Bryan, TX

Active since August 28, 2009
3111 S TEXAS AVE, BRYAN, TX 77802(979) 446-0270(979) 775-7641 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Knieeka Shanell Jake-pacheco Dmd NPPES

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

MRS. KNIEEKA SHANELL JAKE-PACHECO DMD (NPI 1063645745) is an individual orthodontics and dentofacial orthopedics provider in Bryan, Texas, licensed in Texas (29374) and active in the NPI registry since August 2009. She maintains a secondary practice location in Temecula.

NPPES Registry Identity

NPI1063645745
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameMRS. KNIEEKA SHANELL JAKE-PACHECOCredential: DMD
Location Address3111 S TEXAS AVEBryan, TX 77802
Mailing Address3111 S Texas AveBryan, TX 77802-3124 · (979) 446-0270
Fax(979) 775-7641
Sole ProprietorNo
Enumeration DateAugust 28, 2009
Last NPPES UpdateAugust 28, 2018
NPI 1063645745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in TX · 29374
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Also ListedDentistTaxonomy 122300000X · License 62350 (CA), 200916780 (MO)
3111 S TEXAS AVE, Bryan, TX 77802

Other Names 1

Former Name (1)Ms. Knieeka Shanell Jake Dmd

Secondary Practice Location 1

Location 132909 Temecula Pkwy, #102Temecula, CA 92592-6918 · Phone (951) 972-8080

Accepted Insurance

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Dentist (General Practice)
3111 S TEXAS AVE
BRYAN, TX 77802
Dentist (General Practice)
3111 S TEXAS AVE
BRYAN, TX 77802
Dentist (Orthodontics and Dentofacial Orthopedics)
3111 S TEXAS AVE
BRYAN, TX 77802
Dentist (Orthodontics and Dentofacial Orthopedics)
3111 S TEXAS AVE
BRYAN, TX 77802

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063645745, enumerated as an "individual" on August 28, 2009.

The provider is located at 3111 S TEXAS AVE BRYAN, TX 77802 and the phone number is (979) 446-0270.

Dentist with taxonomy code 1223X0400X and a focus in Orthodontics and Dentofacial Orthopedics.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.