Bluebonnet Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BLUEBONNET PEDIATRIC DENTISTRY PLLC

Doing business as

Bluebonnet Pediatric Dentistry

Practice address

2650 Becker Drive
Brenham, TX 77833

Phone

(979) 451-6026

Fax

(979) 246-0960

NPI assigned

Aug 26, 2022

Last updated

Aug 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Charles Ames, DDSNPI 1003104977

Title

Owner/Dentist

Phone

(801) 472-0837

Specialties & licenses 2

Addresses

Other names 1

• Bluebonnet Pediatric Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Charles Ames, DDS

  • Pediatric Dentistry
  • Brenham, TX
  • NPI 1003104977
  NPD Authorized official

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1114646676",
    "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": {
        "organization_name": "BLUEBONNET PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-05",
        "status": "A",
        "authorized_official_last_name": "AMES",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "801-472-0837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluebonnet Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bluebonnet Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sammuel Bharksuwan, M.D.
• Kathryn Dawn Bircher, RN
• Robin Elizabeth Blankenburg, RPH
• Blinn College
• Bluebonnet Haven, LLC
• Sandra Kay Blum
• Jon F Bode, MD
• Rachel Lynn Boer, PHARMD
• Matthew Howard Boutte, PA-C, MPAS
• Brandon Guillory OD

• Pediatric Dentistry in Brenham, TX
• Providers in Brenham, TX by specialty
• Pediatric Dentistry in Texas

• 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.