1. Home
  2. Directory
  3. South Carolina
  4. Greenville
  5. Dentist
  6. NPI Profile

DR. RICHARD GLENN JACQUES DDS
NPI 1164566105
Dentist in Greenville, SC

Active since February 15, 2007PECOS Enrolled
16 MILLS AVE, UNIT #1, GREENVILLE, SC 29605(864) 242-4848 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Richard Glenn Jacques Dds NPPES

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

DR. RICHARD GLENN JACQUES DDS (NPI 1164566105) is an individual dentist in Greenville, South Carolina, licensed in South Carolina (02333) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164566105
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. RICHARD GLENN JACQUESCredential: DDS
Location Address16 MILLS AVE, UNIT #1Greenville, SC 29605-4070
Mailing Address16 Mills Ave, Ste 1Greenville, SC 29605-4065 · (864) 242-4848
Phone(864) 242-4848
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateFebruary 15, 2016
✔ NPI 1164566105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in SC · 02333
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
16 MILLS AVE, Greenville, SC 29605
Open in Google Maps ↗

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. Richard Glenn Jacques Dds 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 29605 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

Other Providers at the Same Location NPPES 7

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

MRS. MARY JOETTE MCCOY
Pharmacy Technician
16 MILLS AVE, UNIT #5
GREENVILLE, SC 29605
Greenville County (864) 232-9860
CHRISTINE CAMPBELL HENRIE MA, LPC
Counselor (Mental Health)
16 MILLS AVE, UNIT 8
GREENVILLE, SC 29605
Greenville County (864) 370-1140
GREENVILLE NATURAL HEALTH, INC.
Acupuncturist
16 MILLS AVE, STE. 8
GREENVILLE, SC 29605
Greenville County (864) 370-1140
DR. MATTHEW J KORMYLO DMD
Dentist
16 MILLS AVE, SUITE 7
GREENVILLE, SC 29605
Greenville County (864) 235-7500
NEPHROLOGY ASSOCIATES OF GREENVILLE, LLC
Internal Medicine (Nephrology)
16 MILLS AVE, SUITE 8
GREENVILLE, SC 29605
Greenville County (843) 861-8028
KELSEY NELSON
Chiropractor
16 MILLS AVE, SUITE 3
GREENVILLE, SC 29605
Greenville County (864) 881-2242
MICHAEL NELSON D.C., ATC
Chiropractor
16 MILLS AVE, SUITE 3
GREENVILLE, SC 29605
Greenville County (864) 881-2242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Jacques's NPI number?

The NPI number for Richard Jacques is 1164566105. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Richard Jacques located?

Richard Jacques practices at 16 Mills Ave Unit #1, Greenville, SC 29605. The listed phone number is (864) 242-4848.

What is Richard Jacques's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Richard Jacques enrolled in Medicare?

Yes. Richard Jacques is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Jacques was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.