Individual provider Active NPI

Iraj S Jabbary, DDS

  • General Practice Dentistry
  • Cleveland, TX
National Provider Identifier
1376564518
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18929 Issued in TX
Practice address
1214 E Houston St Ste D
Cleveland, TX 77327-4754
Phone
(281) 593-3300
Fax
(281) 593-1616
NPI assigned
Jul 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 18929 TX Primary

Addresses

Primary practice location

1214 E Houston St Ste D
Cleveland, TX 77327-4754

Mailing address

1214 E Houston St Ste D
Cleveland, TX 77327-4754
Phone (281) 593-3300

Other identifiers 1

IdentifierTypeStateIssuer
135063902MedicaidTX

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
I20240614000143 TX Practitioner - Dentist 6709176985 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
18929TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Dentistry Pasadena, PA General Practice CurrentSince May 22, 2024 Accepting new patients
Abc Dentistry Crosstimbers, PLLC General Practice CurrentSince Jun 6, 2024 Accepting new patients
Abc Dentistry Old Spanish Trail, PLLC General Practice CurrentSince May 22, 2024 Accepting new patients
Abc Dentistry West Orem, PLLC General Practice CurrentSince May 22, 2024 Accepting new patients
Abc Dentistry Hillcroft, PLLC General Practice CurrentSince May 22, 2024 Accepting new patients
NBNL Dental PLLC General Practice PastSince Sep 13, 2020 Accepting new patients
Abc Dentistry Strawberry, PLLC General Practice PastSince Jun 2, 2016 Accepting new patients

Locations

1214 E Houston St
Ste D
Cleveland, TX 77327
Phone (281) 593-3300

5505 W Orem Dr
Ste 200
Houston, TX 77085
Phone (713) 723-9200

5751 Blythewood St
Ste 100
Houston, TX 77021
Phone (713) 747-2500

4400 North Fwy
Spc C300
Houston, TX 77022
Phone (713) 691-1300

6704 Hillcroft Ave
Houston, TX 77081
Phone (713) 995-1700

1500 Southmore Ave
Pasadena, TX 77502
Phone (713) 472-6100

1313 Strawberry Rd
Pasadena, TX 77502
Phone (713) 472-6100

Organizations & group practices 7

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376564518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E HOUSTON ST STE D",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274754",
            "telephone_number": "281-593-3300",
            "fax_number": "281-593-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 E HOUSTON ST STE D",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773274754",
            "telephone_number": "281-593-3300",
            "fax_number": "281-593-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABBARY",
        "first_name": "IRAJ",
        "middle_name": "S",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135063902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TX

Sources for this page

Verify at the official NPI Registry.