Abbeville Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ABBEVILLE FAMILY DENTISTRY

Practice address

5255 79TH St
Lubbock, TX 79424-2852

Phone

(806) 794-7171

Fax

(806) 798-1168

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Jeff D Reibel

Title

Cfo

Phone

(502) 254-8500

Specialties & licenses 2

Addresses

Other names 1

• Abbeville Dentistry Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tolulope Mary Fadipe, DDS

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1346814266
  NPD
• Julia Hye Eun Son

  • Dentist
  • Lubbock, TX
  • NPI 1619607934
  NPD
• Ronald Allan Hawkins, DDS

  • Dentist
  • Lubbock, TX
  • NPI 1164573606
  NPD (past)
• Jung Bin Lee, DDS

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1942986914
  NPD (past)
• James Lovering, DDS

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1366579252
  NPD (past)
• Meet M Patel, DDS

  • Dentist
  • Lubbock, TX
  • NPI 1154982247

  General Practice

  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1326199878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5255 79TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242852",
            "telephone_number": "806-794-7171",
            "fax_number": "806-798-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 79TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242852",
            "telephone_number": "806-794-7171",
            "fax_number": "806-798-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBEVILLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "REIBEL",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "502-254-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbeville Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Abbeville Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Abba Home Health LP
• Abba Home Health, LP
• Abbeville Dentistry - Lubbock Pueblo, PLLC
• Abbeville Dentistry - Lubbock Pueblo, PLLC
• Abbeville Family Dentistry
• Abbeville Family Dentistry
• Abbeville Kids Dentistree - Lubbock, PLLC
• Abbeville Kids Dentistree- Lubbock PLLC
• Abbeville Special Needs Dentistry PLLC
• Helen Hayes Abbott-McKibben, RDH

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.