Individual provider Active NPI

Irabor Idenobe Okogbo, D.D.S.

  • Dentist
  • Cypress, TX
National Provider Identifier
1063788636
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27752 Issued in TX
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029004580 NM Practitioner - Dentist 7719227966 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
27752TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de Familia, Incorporated CurrentSince Oct 6, 2025 Accepting new patients
La Clinica de Familia, Incorporated Current Accepting new patients
La Clinica de Familia, Incorporated CurrentSince Oct 6, 2025 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.

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

Verify at the official NPI Registry.