NPIMap

Organization Active NPI

Abc Dentistry Crosstimbers, PLLC

Doing business as ABC Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1396147112
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18929 Issued in TX
Legal business name
ABC DENTISTRY CROSSTIMBERS, PLLC
Doing business as
ABC Dental
Practice address
4400 North Fwy Ste C300
Houston, TX 77022-3604
Phone
(713) 691-1300
NPI assigned
Sep 24, 2014
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Armin Jabbary, DMDNPI 1689251019
Title
President
Phone
(713) 944-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18929 TX Primary

Addresses

Primary practice location

4400 North Fwy Ste C300
Houston, TX 77022-3604

Mailing address

1500 Southmore Ave
Pasadena, TX 77502-1307
Phone (713) 944-6800

Other identifiers 1

IdentifierTypeStateIssuer
3397606-01MedicaidTX

Other names 1

  • ABC Dental Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160531000865 TX Part B Supplier - Clinic/Group Practice 7810287091 Receives reassigned benefits from 13 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

4400 North Fwy
Ste 300
Houston, TX 77022

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1396147112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SOUTHMORE AVE",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775021307",
            "telephone_number": "713-944-6800",
            "fax_number": "832-962-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NORTH FWY STE C300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770223604",
            "telephone_number": "713-691-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC DENTISTRY CROSSTIMBERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "JABBARY",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-944-6800",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3397606-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.