NPIMap

Organization Active NPI

Abc Dentistry West Orem, PLLC

Doing business as Abc Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1689817769
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 WEST OREM, PLLC
Doing business as
Abc Dental
Practice address
5505 West Orem Drive
Ste 200
Houston, TX 77085
Phone
(281) 593-3300
Fax
(281) 593-1616
NPI assigned
Apr 20, 2009
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
Mr. 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

5505 West Orem Drive
Ste 200
Houston, TX 77085

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
206551801MedicaidTX

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
O20160617001205 TX Part B Supplier - Clinic/Group Practice 9638460819 Receives reassigned benefits from 12 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1689817769",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 WEST OREM DRIVE",
            "address_2": "STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77085",
            "telephone_number": "281-593-3300",
            "fax_number": "281-593-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC DENTISTRY WEST OREM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "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_name_prefix": "Mr.",
        "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": "206551801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC DENTAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "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.