Organization Active NPI

Ibrite Dental - Cleburne, PLLC

  • Dental Clinic/Center
  • Cleburne, TX
National Provider Identifier
1164934543
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21298 Issued in TX
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.