NPIMap

Organization Active NPI

Charles a Ernst Jr DDS

  • General Practice Dentistry
  • Bryan, TX
National Provider Identifier
1336944461
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHARLES A ERNST JR DDS
Practice address
3801 Cross Park Dr
Bryan, TX 77802-4140
Phone
(979) 776-4450
Fax
(979) 776-5196
NPI assigned
Feb 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Authorized official

Name
Charles Arthur Ernst Jr., DDS
Title
Owner
Phone
(979) 776-4450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3801 Cross Park Dr
Bryan, TX 77802-4140

Mailing address

3801 Cross Park Dr
Bryan, TX 77802-4140
Phone (979) 776-4450

National Provider Directory

National Provider Directory

Locations

3801 Cross Park Dr
Bryan, TX 77802
Phone (979) 776-4450

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": "1739404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739404800000",
    "number": "1336944461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 CROSS PARK DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024140",
            "telephone_number": "979-776-4450",
            "fax_number": "979-776-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 CROSS PARK DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778024140",
            "telephone_number": "979-776-4450",
            "fax_number": "979-776-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A ERNST JR DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A",
        "authorized_official_last_name": "ERNST",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-776-4450",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.