Individual provider Active NPI

Ida A Varghese, DDS

  • Dentist
  • Cypress, TX
National Provider Identifier
1245753573
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
35706 Issued in TX
Practice address
11734 Barker Cypress Rd Ste 113
Cypress, TX 77433-2770
Phone
(281) 256-8771
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 35706 TX
Dentist 122300000X 35706 TX Primary

Addresses

Primary practice location

11734 Barker Cypress Rd Ste 113
Cypress, TX 77433-2770

Mailing address

11703 Balmartin Dr
Richmond, TX 77407-2408
Phone (832) 206-4927

Other practice location 1

7500 Cambridge St # 5351
Houston, TX 77054-2032
Phone (713) 486-4473

Other identifiers 1

IdentifierTypeStateIssuer
207ZP0102XOtherTXTAXONOMY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260211003524 TX Practitioner - Dentist 3779062476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6411 Fannin St
Houston, TX 77030-1501
Phone (713) 704-4000

6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-5301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35706TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dentalim PLLC CurrentSince Oct 21, 2025 Accepting new patients
University of Texas Health Science Center at Houston CurrentSince Jan 1, 2026 Accepting new patients
The University of Texas Health Science Center at Houston CurrentSince Jan 1, 2026 Accepting new patients

Locations

11734 Barker Cypress Rd
Ste 113
Cypress, TX 77433
Phone (281) 256-8771

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1245753573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11703 BALMARTIN DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072408",
            "telephone_number": "832-206-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11734 BARKER CYPRESS RD STE 113",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332770",
            "telephone_number": "281-256-8771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Cambridge St # 5351",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542032",
            "country_code": "US",
            "telephone_number": "713-486-4473",
            "fax_number": "713-486-0415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "IDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "35706",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "35706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "207ZP0102X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.