DR. JACOB ALEXANDER RENDON DDS
NPI 1124755202
Dentist in College Station, TX

Active since August 08, 2022
1509 EMERALD PKWY STE 105, COLLEGE STATION, TX 77845(979) 696-8681 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, Aug 8, 2022 (2 updates tracked since 2022).

About Dr. Jacob Alexander Rendon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACOB ALEXANDER RENDON DDS (NPI 1124755202) is an individual dentist in College Station, Texas, licensed in Texas (38895) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1124755202
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JACOB ALEXANDER RENDONCredential: DDS
Location Address1509 EMERALD PKWY STE 105College Station, TX 77845-5502
Mailing Address213 Lynn Dr # 201Bryan, TX 77801-3322 · (806) 206-1339
Sole ProprietorNo
Enumeration DateAugust 8, 2022
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
NPI 1124755202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in TX · 38895
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1509 EMERALD PKWY STE 105, College Station, TX 77845

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Dental)
1509 EMERALD PKWY STE 105
COLLEGE STATION, TX 77845
Dentist (General Practice)
1509 EMERALD PKWY STE 105
COLLEGE STATION, TX 77845

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Rendon's NPI number?

The NPI number for Jacob Rendon is 1124755202. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Jacob Rendon located?

Jacob Rendon practices at 1509 Emerald Pkwy Ste 105, College Station, TX 77845. The listed phone number is (979) 696-8681.

What is Jacob Rendon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jacob Rendon accept?

Health plans from Delta Dental PPO and Humana list Jacob Rendon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Rendon was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.