NPIMap

Organization Active NPI

Jacob a Rendon, D.D.S., P.C.

  • Dental Clinic/Center
  • College Station, TX
National Provider Identifier
1316736879
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JACOB A RENDON, D.D.S., P.C.
Practice address
1509 Emerald Pkwy Ste 105
College Station, TX 77845-5502
Phone
(979) 696-8681
NPI assigned
May 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Dr. Jacob Alexander Rendon, DDSNPI 1124755202
Title
President
Phone
(806) 206-1339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1509 Emerald Pkwy Ste 105
College Station, TX 77845-5502

Mailing address

1509 Emerald Pkwy Ste 105
College Station, TX 77845-5502
Phone (979) 696-8681

Other names 1

  • Matthews Dental Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1316736879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 EMERALD PKWY STE 105",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455502",
            "telephone_number": "979-696-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 EMERALD PKWY STE 105",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455502",
            "telephone_number": "979-696-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB A RENDON, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-206-1339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthews Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.