Individual provider Active NPI

Jonathan Charles Ames, DDS

  • Pediatric Dentistry
  • Brenham, TX
National Provider Identifier
1003104977
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
27885 Issued in TX
Practice address
2650 Becker Drive
Brenham, TX 77833
Phone
(979) 451-6026
Fax
(979) 246-0960
NPI assigned
Jul 13, 2011
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 27885 TX Primary

Addresses

Primary practice location

2650 Becker Drive
Brenham, TX 77833

Mailing address

2650 Becker Drive
Brenham, TX 77833
Phone (979) 451-6026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27885TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluebonnet Pediatric Dentistry PLLC Pediatric Dentistry CurrentSince Aug 13, 2023 Accepting new patients
Alligator Dental Pediatric Dentistry PastSince Dec 1, 2022 Accepting new patients
Alligator Dental Pediatric Dentistry PastSince Nov 3, 2024 Accepting new patients

Locations

2650 Becker Dr
Brenham, TX 77833
Phone (979) 451-6026

Networks

  • TX HMO D-SNP
  • NM HMO C-SNP

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1003104977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BECKER DRIVE",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "77833",
            "telephone_number": "979-451-6026",
            "fax_number": "979-246-0960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BECKER DRIVE",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "77833",
            "telephone_number": "979-451-6026",
            "fax_number": "979-246-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMES",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "27885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.