Jonathan Charles Ames, DDS
Individual provider Active NPI Pediatric Dentistry · Brenham, TX
NPI 1003104977 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1003104977
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 27885 (TX)
- Practice address
- 2650 Becker Drive
Brenham, TX 77833 - Phone
- (979) 451-6026
- Fax
- (979) 246-0960
- NPI assigned
- Jul 13, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27885 | TX | MD | Pediatric Dentist |
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluebonnet Pediatric Dentistry PLLC | Pediatric Dentistry | Current |
Accepting new patients |
| Alligator Dental | Pediatric Dentistry | Past |
Accepting new patients |
| Alligator Dental | Pediatric Dentistry | Past |
Accepting new patients |
Locations
2650 Becker Dr
Brenham, TX 77833
Phone (979) 451-6026
Networks
- NM HMO C-SNP
- TX HMO D-SNP
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 27885 | TX | Yes |
Addresses
Primary practice location
2650 Becker Drive
Brenham, TX 77833
Mailing address
2650 Becker Drive
Brenham, TX 77833
Phone (979) 451-6026
Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.