DR. TESSIE JACOB DDS
NPI 1477937183
Dentist - General Practice in Southington, CT

Q: What is Tessie Jacob's NPI number?

The NPI number for Tessie Jacob is 1477937183. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Q: What is Tessie Jacob'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 Tessie Jacob was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 13, 2015PECOS Enrolled

1131 WEST STREET, BUILDING#1 SUITE#5, SOUTHINGTON, CT 06489(860) 414-6897 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2020, Dec 29, 2016, Sep 28, 2015 (3 updates tracked since 2015).

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About Dr. Tessie Jacob Dds NPPES

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

DR. TESSIE JACOB DDS (NPI 1477937183) is an individual general practice provider in Southington, Connecticut, licensed in Connecticut (11465) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477937183

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. TESSIE JACOBCredential: DDS

Location Address1131 WEST STREET, BUILDING#1 SUITE#5Southington, CT 06489-6006

Mailing Address1131 West Street, Building#1 Suite#5Southington, CT 06489-6006 · (860) 414-6897

Phone(860) 414-6897

Sole ProprietorYes

Enumeration DateJuly 13, 2015

Last NPPES UpdateJuly 1, 20203 updates tracked since enumeration

NPPES CertifiedJuly 1, 2020

✔ NPI 1477937183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CT · 11465

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.

Also ListedDentistTaxonomy 122300000X · License 11465 (CT)

1131 WEST STREET, Southington, CT 06489

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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. Tessie Jacob 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 06489 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

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 2

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

CONSTANT DENTAL CARE, PLLC

Dentist (General Practice)

1131 WEST STREET, BUILDING #1 SUITE #5
SOUTHINGTON, CT 06489

Capitol Planning Region (860) 414-6897

KATHRYN BLAIR, LCSW, LLC

Social Worker (Clinical)

1131 WEST STREET, BUILDING 1, SUITE 3
SOUTHINGTON, CT 06489

Capitol Planning Region (860) 508-2274

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 Tessie Jacob's NPI number?

The NPI number for Tessie Jacob is 1477937183. It was assigned to this individual provider in the NPPES registry on July 13, 2015.

Where is Tessie Jacob located?

Tessie Jacob practices at 1131 West Street Building#1 Suite#5, Southington, CT 06489. The listed phone number is (860) 414-6897.

What is Tessie Jacob's specialty?

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

Is Tessie Jacob enrolled in Medicare?

Yes. Tessie Jacob is registered in the Medicare PECOS enrollment system.

What insurance does Tessie Jacob accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Tessie Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tessie Jacob was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.