MODERY FAMILY DENTAL
NPI 1538512421
Dentist in Amarillo, TX

Q: What is Jake Modery, D.D.S., P.C.'s NPI number?

The NPI number for Jake Modery, D.D.S., P.C. is 1538512421. It was assigned to this organization in the NPPES registry on July 15, 2016. The provider is doing business as Modery Family Dental.

Q: What is Jake Modery, D.D.S., P.C.'s specialty?

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

Active since July 15, 2016

9200 TOWN SQUARE BLVD, SUITE 1090, AMARILLO, TX 79119(806) 731-1180 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2016, Jul 16, 2016 (2 updates tracked since 2016).

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About Modery Family Dental NPPES

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

MODERY FAMILY DENTAL (NPI 1538512421) is a healthcare organization registered as a dentist in Amarillo, Texas and active in the NPI registry since July 2016. The organization lists Jake Modery, President, as its authorized official.

NPPES Registry Identity

NPI1538512421

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameJAKE MODERY, D.D.S., P.C.

Location Address9200 TOWN SQUARE BLVD, SUITE 1090Amarillo, TX 79119-1250

Mailing Address5902 S Fannin StAmarillo, TX 79118-8807

Phone(806) 731-1180

Organization SubpartNo

Authorized OfficialJake ModeryPresident · (806) 731-1180

Enumeration DateJuly 15, 2016

Last NPPES UpdateSeptember 1, 20162 updates tracked since enumeration

✔ NPI 1538512421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 30983

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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X · License 30983 (TX)

9200 TOWN SQUARE BLVD, Amarillo, TX 79119

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Other Names 1

Doing Business AsModery Family Dental

Other Providers at the Same Location NPPES

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

JAKE MODERY D.D.S.

Dentist

9200 TOWN SQUARE BLVD, SUITE 1090
AMARILLO, TX 79119

Randall County (806) 731-1180

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 Jake Modery, D.D.S., P.C.'s NPI number?

The NPI number for Jake Modery, D.D.S., P.C. is 1538512421. It was assigned to this organization in the NPPES registry on July 15, 2016. The provider is doing business as Modery Family Dental.

Where is Jake Modery, D.D.S., P.C. located?

Jake Modery, D.D.S., P.C. is located at 9200 Town Square Blvd Suite 1090, Amarillo, TX 79119. The listed phone number is (806) 731-1180.

What is Jake Modery, D.D.S., P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Jake Modery, D.D.S., P.C. was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.