Active NPI
Irabor Idenobe Okogbo, D.D.S.
- Dentist
- Cypress, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27752
- Practice address
- 8190 Barker Cypress Rd.
Suite 200
Cypress, TX 77433 - Phone
- (832) 674-4932
- Fax
- (832) 906-6212
- NPI assigned
- Mar 28, 2012
- Last updated
- May 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27752 | TX | Primary |
Addresses
Primary practice location
8190 Barker Cypress Rd.
Suite 200
Cypress, TX 77433
Mailing address
8190 Barker Cypress Rd.
Suite 200
Cypress, TX 77433
Phone (832) 674-4932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- Howard University College of Dentistry, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
385 Calle de Alegra
BLDG a
Las Cruces, NM 88005-3417
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27752 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| La Clinica de Familia, Incorporated | Current | Accepting new patients | |
| La Clinica de Familia, Incorporated | Current | Accepting new patients |
Locations
826 Anthony Dr
Anthony, NM 88021
Phone (575) 201-5135
855 Anthony Dr
Anthony, NM 88021
Phone (575) 882-3607
510 E Lisa Dr
Bldg 2
Chaparral, NM 88081
Phone (575) 824-0820
385 Calle de Alegra
Bldg A
Las Cruces, NM 88005
Phone 57552611052444
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba La Clinica De Familia Central Medical
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1528424397
-
dba Mayfield High School Base
- Federally Qualified Health Center (FQHC)
- Las Cruces, NM
- NPI 1134917040
-
dba La Clinica De Familia Anthony
- Federally Qualified Health Center (FQHC)
- Anthony, NM
- NPI 1699748921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525132800000",
"number": "1063788636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8190 BARKER CYPRESS RD.",
"address_2": "SUITE 200",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77433",
"telephone_number": "832-674-4932",
"fax_number": "832-906-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8190 BARKER CYPRESS RD.",
"address_2": "SUITE 200",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77433",
"telephone_number": "832-674-4932",
"fax_number": "832-906-6212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKOGBO",
"first_name": "IRABOR",
"middle_name": "IDENOBE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-28",
"last_updated": "2018-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "27752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.