Active NPI
Kirolls Ibrahim
- General Practice Dentistry
- Cypress, TX
National Provider Identifier
1619418944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 34242
- Practice address
- 27008 Northwest Fwy Ste 120
Cypress, TX 77433-7950 - Phone
- (713) 999-9022
- NPI assigned
- Mar 20, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 34242 | TX | Primary |
Addresses
Primary practice location
27008 Northwest Fwy Ste 120
Cypress, TX 77433-7950
Mailing address
16210 Pinon Vista Dr
Houston, TX 77095-7196
Other practice location 1
609 Elm St
Waco, TX 76704-2516
Phone (254) 313-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34242 | TX | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Top Dentistry, PLLC Dba Celine Dental | General Practice | Current | Accepting new patients |
Locations
27008 Northwest Fwy
Ste 120
Cypress, TX 77433
Phone (713) 999-9022
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Cypress, TX
- NPI 1669159661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688083200000",
"number": "1619418944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16210 PINON VISTA DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770957196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27008 NORTHWEST FWY STE 120",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774337950",
"telephone_number": "713-999-9022"
}
],
"practiceLocations": [
{
"address_1": "609 Elm St",
"address_purpose": "LOCATION",
"city": "Waco",
"state": "TX",
"postal_code": "767042516",
"country_code": "US",
"telephone_number": "254-313-6900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IBRAHIM",
"first_name": "KIROLLS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-20",
"last_updated": "2023-06-30",
"certification_date": "2023-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "34242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.