OrganizationActive
Jake Modery, D.D.S., P.C.
NPI 1538512421 · Dentist · Amarillo, TX
Jake Modery, D.D.S., P.C. is a Dentist organization in Amarillo, TX (NPI 1538512421).
Provider details
- NPI number
- 1538512421
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Jake Modery, President(806) 731-1180
- License
- 30983 (TX)
Specialties & taxonomies
Dental Providers
Ambulatory Health Care Facilities
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9200 Town Square Blvd
Suite 1090
Amarillo, TX 79119-1250
Phone: (806) 731-1180
Street-level locationGet directions
Mailing address
5902 S Fannin St
Amarillo, TX 79118-8807
Other names (DBA / former)
- Doing business as
- Modery Family Dental
Registry dates
- Enumerated
- 2016-07-15
- Last updated
- 2016-09-01
Frequently asked questions
- What is Jake Modery, D.D.S., P.C.'s NPI number?
- Jake Modery, D.D.S., P.C.'s National Provider Identifier (NPI) is 1538512421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jake Modery, D.D.S., P.C.?
- Jake Modery, D.D.S., P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Jake Modery, D.D.S., P.C. located?
- Jake Modery, D.D.S., P.C.'s practice location on file with NPPES is 9200 Town Square Blvd, Amarillo, TX 79119-1250.
- What is Jake Modery, D.D.S., P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Jake Modery, D.D.S., P.C. is (806) 731-1180.
- Who is the authorized official for Jake Modery, D.D.S., P.C.?
- The authorized official listed on Jake Modery, D.D.S., P.C.'s NPPES record is Jake Modery, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jake Modery, D.D.S., P.C.'s NPI active?
- Yes — Jake Modery, D.D.S., P.C.'s NPI (1538512421) is active in the NPPES registry as of the last update on 2016-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.