Active NPI
Dementia Care TX PLLC
- General Practice Physician
- Houston, TX
National Provider Identifier
1366203028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- DEMENTIA CARE TX PLLC
- Practice address
- 2950 North Loop W Ste 500
Houston, TX 77092-8830 - Phone
- (407) 519-3098
- NPI assigned
- Jan 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Amos
- Title
- Admin
- Phone
- (646) 406-9347
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2950 North Loop W Ste 500
Houston, TX 77092-8830
Mailing address
1032 E Brandon Blvd # 7437
Brandon, FL 33511-5509
Phone (407) 690-6254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1801236690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1705622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784678400000",
"number": "1366203028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 E BRANDON BLVD # 7437",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115509",
"telephone_number": "407-690-6254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 NORTH LOOP W STE 500",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770928830",
"telephone_number": "407-519-3098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEMENTIA CARE TX PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-19",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A",
"authorized_official_last_name": "AMOS",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "646-406-9347"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.