Individual provider Active NPI

Dennis J Giba, DDS

  • General Practice Dentistry
  • Tomball, TX
National Provider Identifier
1366514770
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17953 Issued in TX
Practice address
12111 Spring Cypress Rd
Suite E
Tomball, TX 77377-8244
Phone
(281) 251-3070
Fax
(281) 251-8091
NPI assigned
Nov 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17953 TX Primary

Addresses

Primary practice location

12111 Spring Cypress Rd
Suite E
Tomball, TX 77377-8244

Mailing address

12111 Spring Cypress Rd
Suite E
Tomball, TX 77377-8244
Phone (281) 251-3070

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
I20151204000073 TX Order and Referring Only - DentistPractitioner - Dentist 6709186356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17953TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366514770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12111 SPRING CYPRESS RD",
            "address_2": "SUITE E",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778244",
            "telephone_number": "281-251-3070",
            "fax_number": "281-251-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12111 SPRING CYPRESS RD",
            "address_2": "SUITE E",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773778244",
            "telephone_number": "281-251-3070",
            "fax_number": "281-251-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBA",
        "first_name": "DENNIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.