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Jared Jasicki

Dentist β€’ Longview, TX

Active NPI 1235068966 Individual Practitioner Male Practitioner
Practice location in NPPES

3052 N Eastman Rd Ste 108
Longview, TX 756055013

Call 9036861905 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3052 N Eastman Rd Ste 108

Longview, TX 756055013

Telephone 9036861905
Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Tyler, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Longview and Texas

21 active clinicians are listed under Dentist with a practice address in Longview, TX (6,580 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Longview

0% of these 21 clinicians have the CMS telehealth indicator.

9.5% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES TX 42529

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

8942 S Broadway Ave Ste 128

Tyler, TX 757035443

Phone: 9034051552

3873 Hwy 64 W

Tyler, TX 757046925

Phone: 9035256983

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1659000495

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2026

Dentist (license number reported to NPPES: TX 42529)

βœ…
NPI Profile Active May 18, 2026

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 18, 2026

Registered at 3052 N EASTMAN RD STE 108, LONGVIEW, TX 756055013 (Tel: 9036861905)

πŸ“
Business Mailing Address (Initial Record) May 18, 2026

Registered at 1121 E HAWKINS PKWY APT 5212, LONGVIEW, TX 756050125

πŸ‘€
Provider Name / Credentials (Initial Record) May 18, 2026

Recorded as JARED JASICKI

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2026

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration May 18, 2026

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1235068966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2026
Last Update: July 06, 2026
Sole Proprietor: Yes

Other Dentists in Longview

All Dentists in Longview

Mailing Address

1121 E Hawkins Pkwy Apt 5212

Longview, TX 756050125

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.