Active NPI
Ibrite Dental - Cleburne, PLLC
- Dental Clinic/Center
- Cleburne, TX
National Provider Identifier
1164934543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 21298
- Legal business name
- IBRITE DENTAL - CLEBURNE, PLLC
- Practice address
- 1301 W Henderson St Ste H
Cleburne, TX 76033-5117 - Phone
- (817) 641-3344
- Fax
- (817) 641-3344
- NPI assigned
- Oct 25, 2017
- Last updated
- Oct 25, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian T Le, DDS
- Title
- Dentist
- Phone
- (817) 793-0013
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 21298 | TX | Primary |
Addresses
Primary practice location
1301 W Henderson St Ste H
Cleburne, TX 76033-5117
Mailing address
2104 Castle Creek Dr
Mansfield, TX 76063-5330
Phone (817) 368-6378
National Provider Directory
National Provider DirectoryLocations
1301 W Henderson St
Ste H
Cleburne, TX 76033
Phone (817) 558-8700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Cleburne, TX
- NPI 1871720912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1508889600000",
"number": "1164934543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2104 CASTLE CREEK DR",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760635330",
"telephone_number": "817-368-6378",
"fax_number": "888-600-6547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 W HENDERSON ST STE H",
"city": "CLEBURNE",
"state": "TX",
"postal_code": "760335117",
"telephone_number": "817-641-3344",
"fax_number": "817-641-3344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IBRITE DENTAL - CLEBURNE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-25",
"last_updated": "2017-10-25",
"status": "A",
"authorized_official_last_name": "LE",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "817-793-0013",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "TX",
"license": "21298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.